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25 | Licensing Program Analyst (LPA) Tao conducted an unannounced annual inspection visit. LPA met with Administrator, Tokie Ayabe, who assisted with the visit. Facility is licensed to serve six (6) non-ambulatory elderly residents, ages 60 and above. Hospice waiver approved for two (2) residents. Annual licensing fees are current.
During the visit, CARE tool was used, a tour of the facility was conducted, food supply/medication were reviewed, staff/residents were interviewed and staff/residents records were reviewed. The facility was a two-story building. First floor had four (4) resident rooms, office, activity room, living room, laundry area, kitchen, four (4) resident bathrooms, and dining room. Second floor consisted of four (4) staff rooms and two (2) staff bathrooms. All the rooms were furnished with appropriate furniture for residents’ comfort. The bathrooms were furnished with grab bars and nonskid surfaces. Common areas were observed for the ability to safely serve the needs of the residents. Hot water temperature was 116.4 degrees Fahrenheit. Adequate linen and personal hygiene supplies were observed. No pools and bodies of water on the premises. Facility maintained a comfortable temperature for residents. Auditory alarm devices to monitor exits were operable. Interior and exterior space available to permit residents to wander freely and safely. Sufficient supplies of perishable and nonperishable foods were observed. Knives, tools, sharp items were inaccessible to residents. Smoke detectors and carbon monoxide detectors were operable. Fire extinguishers were fully charged. Medication, residents’/ staff’s records were centrally stored in a locked cabinet and inaccessible to residents. Toxic substances were inaccessible to residents. Administrator certificate is current and expiring on 5/27/25.
No deficiencies were observed and cited per California Code of Regulations, Title 22. An exit interview was conducted. This report was discussed and provided to Administrator, Tokie |