Stansbury Place

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sandra Urena arrived at the facility, unannounced to conduct a required annual inspection. The LPA was greeted by staff and informed them of the reason for the visit. The staff called the licensee Joshua Smith, who arrived shortly thereafter. The LPA and the staff toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that the facility is in compliance with Title 22 Regulations. During today’s visit, the four residents were at day program. COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. The facility maintained a comfortable temperature of 72 degrees. Smoke detector(s) and carbon monoxide detectors were tested and operational at the time of the visit. The fire extinguishers were fully charged and were last serviced 06/18/2024. The LPA observed required postings throughout the common space. KITCHEN: Knives and cleaning supplies are stored inaccessible to the residents in care. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. The hot water temperature measured at 114.5 degrees Fahrenheit. BEDROOMS: The facility has five (5) bedrooms, one bedroom is shared and three are private bedrooms, and one (1) staff bedroom. Bedrooms were observed to be furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There was a linen closet in the hallway with extra towels and linens. Continues on LIC 809C... BATHROOMS: Bathrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with soap and paper towels. The hot water temperature measured in the hallway restroom at 112.8 degrees Fahrenheit. OUTDOOR AREA: The front yard has a covered outdoor area equipped with furniture for client use. There are two side gates for client use and are single-latched. No bodies of water noted. The washer and dryer are located in the kitchen area. Cleaning supplies and disinfectants are kept in locked cabinets in the kitchen area RECORDS: Residents’ records were reviewed for, but not limited to care plans, medical records, admissions agreement, consent forms. All records were in order. Personnel records were reviewed for, but not limited to health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All files were in order. MEDICATIONS: Medications were reviewed, and medications are centrally stored and locked in a cabinet in the kitchen area; medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record. No errors observed during the medication review. The LPA reviewed the following documents: - LIC500 Personnel Report - LIC9020 Client Roster - Certificate of Liability - Emergency Drill Log - Emergency Plan Exit interview conducted. A copy of the report was issued.the state’s words, verbatim · CDSS document, Feb 2, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sandra Urena arrived at the facility unannounced to conduct a required annual inspection. The LPA was greeted by staff and informed them of the reason for the visit. The staff stated that the Administrator was at an appointment, and the licensee Joshua Smith was on his way. The Licensee arrived shortly thereafter. The LPA and the staff toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that the facility is in compliance with Title 22 Regulations. During today’s visit, the four residents were at day program. COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. The facility maintained a comfortable temperature of 72 degrees. Smoke detector(s) and carbon monoxide detectors were tested and operational at the time of the visit. The fire extinguishers were fully charged and were last serviced 06/18/2024. The LPA observed required postings throughout the common space. KITCHEN: Knives and cleaning supplies are stored inaccessible to the residents in care. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. The hot water temperature measured at 112.8 degrees Fahrenheit. BEDROOMS: The facility has five (5) bedrooms, one bedroom is shared and three are private bedrooms, and one (1) staff bedroom. Bedrooms were observed to be furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There was a linen closet in the hallway with extra towels and linens. Continues on LIC 809... BATHROOMS: Bathrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with soap and paper towels. The hot water temperature measured in the hallway restroom at 112.8 degrees Fahrenheit. OUTDOOR AREA: The front yard has a covered outdoor area equipped with furniture for client use. There are two side gates for client use and are single-latched. No bodies of water noted. The washer and dryer are located in the kitchen area. Cleaning supplies and disinfectants are kept in locked cabinets in the kitchen area RECORDS: Residents’ records were reviewed for, but not limited to care plans, medical records, admissions agreement, consent forms. All records were in order. Personnel records were reviewed for, but not limited to health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All files were in order. MEDICATIONS: Medications were reviewed, and medications are centrally stored and locked in a cabinet in the kitchen area; medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record. No errors observed during the medication review. INFECTION CONTROL: The facility has an adequate supply of Personal Protection Equipment (PPE) and the facility is able to obtain additional supplies as needed. The facility’s cleaning protocol is sufficient. If needed, the facility has the capacity to designate a single isolation room if the facility has a confirmed case of COVID-19. The LPA reviewed the following documents: - LIC500 Personnel Report - LIC9020 Client Roster - Certificate of Liability - Emergency Drill Log Exit interview conducted. A copy of the report was issued.the state’s words, verbatim · CDSS document, Feb 24, 2025

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Sandra Urena conducted an unannounced Case Management - Incident visit to follow up on a LIC 624 Incident report received by the department on 10/15/2024.The LPA met with Licensee Joshua Smith, Administrator Maria Shinn, and staff Marie Neri, and explained the reason for the visit. On 10/15/2024, the department reviewed a Special Incident Report (LIC 624) for Resident #1 (R1) sent by facility staff. The report indicated that on 10/13/2024, at 8:10 p.m. staff (S1) noticed that R1 had eloped the facility. Facility staff contacted R1’s next of kin to inform them of the incident and contacted law enforcement to file a missing person report. At approximately 10:15 a.m., LPA Urena conducted a physical plant tour, interviewed staff, and R1’s next of kin as well as reviewed and obtained pertinent documents relevant to the investigation. R1 was still missing at the time of the visit. R1’s next of kin is working with law enforcement, missing person’s department to get the case out to the media and public to ask for assistance to locate R1. LPA did not observe any immediate or potential health and safety concerns at this time. The LPA has determined further investigation is needed and will return at a later date to complete the investigation if warranted. Exit interview conducted and copy of report issued.the state’s words, verbatim · CDSS document, Oct 16, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Emily Peraldi arrived at the facility unannounced to conduct a required annual visit. At 1:33 p.m., the LPA met with the Licensee, Joshua Smith and explained the reason for the visit. The facility is vendored by North Los Angeles Regional Center as a level three (3) home. At 1:50 p.m., the LPA, along with staff, toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that the facility is in compliance with Title 22 Regulations. KITCHEN: The LPA observed the kitchen and dining area. Knives are stored in a locked kitchen drawer. Kitchen appliances are in operable condition. The facility has a sufficient supply of perishable and non-perishable food. At 1:15 p.m., hot water measured at 105.8-degree Fahrenheit. Medications are centrally stored and located inside a locked cabinet near the kitchen. The laundry units are located near the kitchen. The facility is a single-story residential home with five (5) bedrooms, four (4) for resident use and one (1) for staff use and two (2) bathrooms. The LPA observed resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Inside temperature was maintained at a comfortable level. Resident restrooms are clean and sanitary and in operating condition with grab bars and non-skid surfaces. At 1:57 p.m., the hot water temperature tested at 108.4-degree Fahrenheit. OUTDOOR SPACE: The LPA observed the front and back patio which has a covered outdoor area for resident use. There is a gate on the side of the house designated for an emergency exit. Passageways were free and clear from obstruction. There are no bodies of water on the premises. Hazardous items were inaccessible and locked away inside the locked outside sheds. COMMON SPACES: At the time of the visit, living room and dining room furniture was observed to be in good condition. The LPA observed the fire extinguishers to be fully charged and last serviced on 07/01/2023. At 2:00 p.m., smoke alarms/ carbon monoxide detectors were tested and functioning properly. Starting at 2:06 p.m., the LPA conducted interviews with five residents (5) and one (1) staff. No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.the state’s words, verbatim · CDSS document, Feb 25, 2024