LPA Tea reviewed five resident files and three staff files. Resident files and staff files contained all required documentation. Annual staff training is still being completed at the time of visit. AD Leal’s administrator certificate expires on January 30, 2027.

LPA Tea along with the Administrator toured the facility. LPA toured the physical plant, checked food service, and the first aid kit. The facility is a single-story home that consists of 5 resident bedrooms, 1 caregiver room, 3 bathrooms, living room, dining room, kitchen, and attached garage. LPA observed smoke detectors/carbon monoxide in common areas and bedrooms are operational. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. The glass mirror in the main bathroom has cracks. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured around 118.4 Fahrenheit degrees. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards; doorways were free of obstructions. First aid kit had the required elements including dressing, bandages, thermometer, tweezers and scissors. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. LPA observed sharps are locked and secured in a kitchen cabinet. LPA observed toxin substances

(Annual Report continued on LIC809C)

• Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

• Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

LPA toured the outside grounds and there is ample seating with shade and two exit gates on both sides of the facility are self-latching and operational. There is a barbecue grill used during the summers. LPA observed emergency supplies, food and water in the garage. Facility provides activities based on resident interests. The residents goes for walks around the neighborhood, watch television, listen to music, reading books and newspapers and crafting bracelets and necklaces. They also go on outings, like shopping on Saturdays and church on Sunday and eat lunch together outside. At the time of annual visit, residents were watching television in the living room.

LPA reviewed medication storage and administration. Medications are stored in a locked cabinet. Medications are being administered per physician orders. All P&I Funds are accounted for and there are no discrepancies. LPA interviewed residents regarding their quality of care and spoke to staff present regarding care provided.

The following deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations.

An exit interview was conducted with Administrator Marilou Leal and a copy of these reports were given to the facility along with a copy of the LIC 858; 859;809-D, 9102 and Appeal Rights.