Kazoku Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Tuesday Cabiness attempted to conduct an annual required inspection. LPA approached the front gate property and was not able to enter, which was locked. LPA contacted the Administrator Akiko Sadamoto, who informed LPA the facility has ceased operation and the property was sold to a new owner. Administrator also informed LPA, she notified the department and Licensing in October 2025. LPA requested for her to send a copy of the letter and she will officially close the facility internally. No further action is required at this time, and the facility will be closed. LPA also received the current mailing address to send the closure letter to the Licensee.the state’s words, verbatim · CDSS document, Nov 24, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Gary Tan, met with Co Administrator Douglas Lee for a One (1) Year Required visit for this facility. LPA explained the reason for the visit. A tour of the physical plant was conducted at 12:50 PM and the following was noted: There is only one entrance being utilized at the facility. Screening area is located immediately upon entrance. Sign in sheet, hand sanitizer, gloves and masks are available. The facility had submitted and approved Infection Control and Mitigation plan. Signs to wear a mask and other Covid 19 prevention protocol signs were posted inside. Hand washing, coughing etiquette, physical distancing and other necessary signs were posted in the bathroom and all over the facility. The facility has a designated visitors' area at the backyard. The facility has sufficient stock of PPE in the storage room. The facility has seven (7) bedrooms and six (6) bathrooms currently occupying five (5) residents. Two (2) bedroom and one (1) bathroom is designated for staff use. The facility is fire cleared for six (6) non-ambulatory residents, three (3) of which may be bedridden on room #4 and #5. Hospice waiver for three (3) residents. Living and dining room furniture were also checked. The living room is neat and clean. The facility maintains a comfortable temperature at 75°F. The smoke detectors are hardwired and interconnected and observed to be operational. There are dual smoke/carbon monoxide installed at the facility. Fire extinguisher is located upon entry on the main door and bedroom hallway and observed be full and last bought on 12/01/24. The backyard of the facility has outdoor furniture, with a covered shaded area for clients. There is no body of water in the facility. (continued on LIC 809-C) (continued on LIC 809-C) There is no garage at the facility, only car ports at the front Laundry room is located adjacent to the kitchen. Laundry detergents, cleaning agents and other toxins are stored in a locked in the laundry room. Food Service/Kitchen area was sufficiently stocked with two (2) days perishable and seven (7) days non-perishable food. Frozen foods are properly wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Knives and sharps are observed to be locked in a kitchen drawer and inaccessible to residents. The Clients' rooms are adequately furnished with appropriate furniture and lighting system. Hall ways/passage ways are lit. Clients have sufficient amounts of personal hygiene product which is provided by the licensee. The bathroom was checked for cleanliness and proper operation. LPA observed the appropriate grab bars in the toilet and shower. The hot water temperature was measured at a range of 113.9°F to 118.7°F Towels and washcloths are not shared. There was enough clean linen available in stock at the cabinet. Medications: LPA observed medication was kept in a locked kitchen cabinet. There were two (2) complete first aid kits located in the medication cabinet. Client records: Client records are reviewed. Resident #1 has a diagnosis of dementia and Medical Assessment was last done on 06/09/23. Staff records: LPA conducted a complete file review of staff records, two (2) out of three (3) staff reviewed did not have first aid training certificate on file. Disaster drill was last conducted on 11/03/24. Required posting observed in facility (complaint hot line poster, LTCO). Citation issued. Appeal rights discussed and given. Exit interview conducted. Copy of this report issued.the state’s words, verbatim · CDSS document, Dec 1, 2024