Raya's Paradise

Type of visit: Required - 1 Year

On 5/19/26, 8:15 am, Licensing Program Analyst, (LPA) Raymond Comer, conducted an unannounced annual inspection visit to the facility. LPA met with the Administrator and reason for the visit was discussed. Facility is licensed as a single-story residence, six (6) non-Ambulatory, of which, three (3) may be bedridden. Hospice waiver for six (6). Facility has six (6) private resident bedrooms and four (4) bathrooms. At 8:25 am, LPA conducted a tour of the physical plant with the Administrator and observed the following: Physical plant On 8:35 am, plant was inspected for cleanliness and condition. Facility’s main door is the primary entry/exit access. Screening area is located immediately upon entrance. Visitor Sign-in sheet, hand sanitizer, gloves and masks are available. Hand washing, coughing etiquette, and other necessary signage are posted in the bathroom and throughout the facility. Room temperature is comfortable; wall thermostat displays a setting of 76.0°F., within the required range. Side door is located west of house which exits to the back yard. Required postings are prominently displayed and observed to be current. Disaster drills were last conducted on 3/15/2026. Fire Detection/Protection system is present at facility. Multiple smoke/carbon monoxide detectors are installed, hardwired and interconnected. Detectors were tested and function properly. Two (2) fire extinguishers, located in Kitchen and Hallway, are fully charged, with inspection service date: 05/17/2026. [LIC 9099-C] Continued- KITCHEN area is clean and clear of clutter. At 8:50 am, LPA observed refrigerator, microwave, stove/oven, dishwasher and sink to be operational. Knives/Sharps are stored in a locked top kitchen drawer inaccessible to residents. Plates, cups, utensils, and two-day supply of perishable food is properly stored and labeled. A seven day supply of nonperishable food is located in detached garage and properly stored. Dish Soap, cleaning solutions, and toxins are stored in locked lower cabinet underneath the kitchen sink. Medications are stored in a secured medications cart in dining room area and are inaccessible to residents. A First Aid kit is accessible and stored in a dining room area cabinet. Medications are listed in centrally stored medication cart and destruction record log. Laundry area is located and secured in hallway storage compartment near the kitchen. Laundry soaps and other cleaning agents are stored and inaccessible to residents. Linen storage observed to have adequate supply of linen and towels. Bedrooms are observed as clean with sufficient lighting, properly furnished with bedding, linens, at least one chair, and night stand. Bathrooms At 9:20 am, LPA observed bathrooms to be clean and sanitary with necessary supplies and required safety fixtures (grab bars, anti-slip floor stripping). Hot water temperature measured at 116.5°F. Within the required range. Garage is detached from house and observed to be locked and inaccessible to residents. Garage is also used as storage for water, PPE supplies, etc. Outdoor (backyard) area observed to have a shaded patio, with table, and sufficient seating for residents and visitors. Outdoor furniture observed to be in good condition. All trash cans were observed to be covered; there are no bodies of water in the facility. Resident records: LPA observed records stored in a locked and secured hallway closet, inaccessible to residents. Resident files were reviewed for current IPP and/or Needs and Services plans, physician report, and admission agreements. Resident records appeared to be current and complete. [LIC 9099-C] Continued- Staff records: At 11:15 am, LPA observed records are secured and inaccessible to residents. Criminal record clearances were present, and Staff are associated to this facility. Staff records appear to be complete and current. There were no health and safety hazards observed during the inspection. Exit interview conducted and a copy of this report was given.the state’s words, verbatim · CDSS document, May 19, 2026

Type of visit: Case Management - Health Checks

At approximately 11:00 a.m. on 04/08/26 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced case management visit. LPA met with the assistant administrator and disclosed the reason for the visit. Today’s case management visit was conducted to ensure the health and safety of all residents. LPA toured the facility inside and out at 11:05 a.m. today, interviewed six (06) out of six (06) residents between 11:00 a.m. and 11:30 a.m., and requested pertinent records, including but not limited to admission agreements, medical assessments, care plans, and staff and client rosters at 3:00 p.m. No immediate health or safety concerns were observed during today’s visit. Exit interview conducted. Copy of report provided.the state’s words, verbatim · CDSS document, Apr 8, 2026

Type of visit: Case Management - Health Checks

On Thursday, 12/11/25, 12:15 pm, Licensing Program Analyst, (LPA) Ray Comer, arrived for an unannounced case management visit to conduct health and safety observations. LPA met with Administrator, and reason for the visit was discussed. During the visit, LPA received the following documentation: 1. LIC 500 (Personal Roster) 2. Resident Roster During this visit, LPA conducted a tour of the facility, and interviewed resident and staff. Two (2) facility staff and two (2) private caregivers were observed providing care and supervision to residents. Staffers were observed assisting residents with eating. Two home health/private caregivers were also present at the facility providing assistance to residents in (Room#1) and (Room#7) Residents were observed to be comfortable watching television in their room, eating lunch, or receiving caregiver assistance. No health and safety issues observed. Exit interview conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, Dec 11, 2025

Type of visit: Case Management - Health Checks

On Tuesday, 11/04/25, 8:30 am, Licensing Program Analyst, (LPA) Ray Comer, arrived for an unannounced case management visit to conduct health and safety observations. LPA met with Administrator, and reason for the visit was discussed. During the visit, LPA received the following documentation: 1. LIC 500 (Personal Roster) 2. Resident Roster During this visit, LPA conducted a tour of the facility, and interviewed resident and staff. Two (2) facility staff were observed providing care and supervision to residents. Staffers were observed assisting residents with eating and changing. Two home health/private caregivers were also present at the facility providing assistance to residents in (Room#1) and (Room#7) Residents were observed to be comfortable watching television, eating breakfast, receiving caregiver assistance, or resting in their room. No health and safety issues observed. Exit interview conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, Nov 4, 2025

Type of visit: Case Management - Health Checks

On Friday, 10/17/25, 8:15 am, Licensing Program Analyst, (LPA) Ray Comer, arrived for an unannounced case management visit to conduct health and safety observations. LPA met with Administrator designee, Scheduling Coordinator, Kevin Moscoso, and reason for the visit was discussed. During the visit, LPA received the following documentation: 1. LIC 500 (Personal Roster) 2. Resident Roster During this visit, LPA conducted a tour of the facility, and interviewed resident and staff. Two (2) facility staff were observed providing care and supervision to residents. One home health/private caregiver was also present at the facility providing assistance to residents R1 (Room#1) Residents were observed to be comfortable watching television, eating breakfast, receiving caregiver assistance, or resting in their room. No health and safety issues observed. Exit interview conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, Oct 17, 2025

Type of visit: Case Management - Health Checks

On Friday, 10/10/25, 8:30 am, Licensing Program Analyst, (LPA) Ray Comer, arrived for an unannounced case management visit to conduct health and safety observations. LPA met with Administrator designee, Scheduling Coordinator, Kevin Moscoso, and reason for the visit was discussed. During the visit, LPA received the following documentation: 1. LIC 500 (Personal Roster) 2. Resident Roster During this visit, LPA conducted a tour of the facility, and interviewed resident and staff. Two (2) facility staff were observed providing care and supervision to residents. Two home health/private caregivers were also present at the facility providing assistance to residents R2 (Room#1) and R3 (Room#7) Residents were observed to be comfortable watching television, receiving caregiver assistance, or resting in their room. LPA observed facility staff (S1) assisting R1 with mobility exercises. No health and safety issues observed. Exit interview conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, Oct 10, 2025

Type of visit: Case Management - Health Checks

On Friday, 10/03/25, 9:50 am, Licensing Program Analyst, (LPA) Ray Comer, arrived for an unannounced case management visit to conduct health and safety observations. LPA met with Administrator, and reason for the visit was discussed. During the visit, LPA observed the following: During this visit, LPA conducted a tour of the facility. Two (2) facility caregiver staff were observed providing care and supervision to residents. Caregivers were conversing with residents in the living room and doing checks on residents in their bedrooms. Two (2) Home Health staff were present assisting their assigned residents. During LPA's visit, the staff activities director arrived and assisted residents with mobility exercises. No health and safety issues observed. Exit interview conducted and a copy of this report was provided to Administrator.the state’s words, verbatim · CDSS document, Oct 3, 2025

Type of visit: Case Management - Health Checks

On Thursday, 09/25/25, 8:35 am, Licensing Program Analyst, (LPA) Ray Comer, arrived for an unannounced case management visit to conduct health and safety observations. LPA met with Administrator, and reason for the visit was discussed. During the visit, LPA observed the following: During this visit, LPA conducted a tour of the facility. Two (2) caregiver staff were observed providing care and supervision to residents. One (1) LVN Nurse staff was speaking with a resident. One (1) Home Health-Hospice personnel was providing care to a resident in their room. Residents were observed to be comfortable watching television, or resting in their room. No health and safety issues observed. Exit interview conducted and a copy of this report was provided to Admin designee.the state’s words, verbatim · CDSS document, Sep 25, 2025

Type of visit: Case Management - Health Checks

On Friday, 09/19/25, 8:30 am, Licensing Program Analyst, (LPA) Ray Comer, arrived for an unannounced case management visit to conduct health and safety observations. LPA met with Administrator designee, Kevin Moscoso, and reason for the visit was discussed. During the visit, LPA received the following documentation: 1. LIC 500 (Personal Roster) 2. Resident Roster During this visit, LPA conducted a tour of the facility, and interviewed residents and staff. Two (2) staff were observed providing care and supervision to residents. One (1) maintenance staff was observed completing scheduled maintenance tasks (Minor interior wall patch/paint work) at the facility. Residents were observed to be comfortable watching television, eating breakfast, or resting in their room. No health and safety issues observed. Exit interview conducted and a copy of this report was provided to Admin designee.the state’s words, verbatim · CDSS document, Sep 19, 2025

Type of visit: Case Management - Health Checks

On 09/04/25, at 10:00 am, Licensing Program Analyst, (LPA) Ray Comer, arrived for an unannounced case management visit to conduct a facility health and safety observation. LPA met with the Administrator, and reason for the visit was discussed. During the visit, LPA received the following documentation: 1. LIC 500 (Personal Roster) 2. Resident Roster 3. Resident POA /Conservator contact Information 4. Resident Admission Agreements (which include rent payment source information) Physical plant inspection: Facility is licensed as a single-story residence, six (6) non-Ambulatory, of which, three (3) may be bedridden. Hospice waiver for six (6). Facility has six (6) private resident bedrooms, and four (4) bathrooms. Three (3) residents are receiving hospice services at this time. During this visit, LPA conducted a tour of the facility, and completed interviews with staff and residents. LPA also observed the facility's medication cart, and conducted an audit of resident medications, and associated records; Facility uses "Yardi EHR" software system. No health and safety issues observed. Exit interview conducted and a copy of this report was given to the Administrator.the state’s words, verbatim · CDSS document, Sep 4, 2025

Type of visit: Required - 1 Year

On 06/26/25, 10:00 am, Licensing Program Analyst, (LPA) Raymond Comer, conducted an unannounced annual inspection visit to the facility. LPA met with the Administrator and reason for the visit was discussed. Facility is licensed as a single-story residence, six (6) non-Ambulatory, of which, three (3) may be bedridden. Hospice waiver for six (6). Facility has six (6) private resident bedrooms and four (4) bathrooms. At 10:15 am, LPA conducted a tour of the physical plant with the Administrator and observed the following: Physical plant was inspected for cleanliness and condition. Facility’s main door is the primary entry/exit access. Screening area is located immediately upon entrance. Visitor Sign-in sheet, hand sanitizer, gloves and masks are available. Hand washing, coughing etiquette, and other necessary signage are posted in the bathroom and throughout the facility. Room temperature is comfortable; wall thermostat displays a setting of 76.0°F., within the required range. Side door is located west of house which exits to the back yard. An approved Mitigation and Infection Control plan is on file. Required postings are prominently displayed and observed to be current. Disaster drills were last conducted on 5/25/2025. Fire Detection/Protection system is present at facility. Multiple smoke/carbon monoxide detectors are installed, hardwired and interconnected. Detectors were tested and function properly. Two (2) fire extinguishers, located in Kitchen and Hallway, are fully charged, with inspection service date: 03/04/2025. [LIC 9099-C] Continued- KITCHEN area is clean and clear of clutter. LPA observed refrigerator, microwave, stove/oven, dishwasher and sink to be operational. Knives/Sharps are stored in a locked top kitchen drawer inaccessible to residents. Plates, cups, utensils, and two-day supply of perishable food is properly stored and labeled. A seven day supply of nonperishable food is located in detached garage and properly stored. Dish Soap, cleaning solutions, and toxins are stored in locked lower cabinet underneath the kitchen sink. Medications are stored in a secured medications cart in dining room area and are inaccessible to residents. A First Aid kit is accessible and stored in a dining room area cabinet. Medications are listed in centrally stored medication cart and destruction record log. Laundry area is located and secured in hallway storage compartment near the kitchen. Laundry soaps and other cleaning agents are stored and inaccessible to residents. Linen storage observed to have adequate supply of linen and towels. Bedrooms are observed as clean with sufficient lighting, properly furnished with bedding, linens, at least one chair, and night stand. Bathrooms were observed to be clean and sanitary with necessary supplies and required safety fixtures (grab bars, anti-slip floor stripping). Hot water temperature measured at 113.5°F. Within the required range. Garage is detached from house and observed to be locked and inaccessible to residents. Garage is also used as storage for water, PPE supplies, etc. Outdoor (backyard) area observed to have a shaded patio, with table, and sufficient seating for residents and visitors. Outdoor furniture observed to be in good condition. All trash cans were observed to be covered; there are no bodies of water in the facility. Resident records: LPA observed records stored in a locked and secured hallway closet, inaccessible to residents. Resident files were reviewed for current IPP and/or Needs and Services plans, physician report, and admission agreements. Resident records appeared to be current and complete. [LIC 9099-C] Continued- Staff records: LPA observed records stored in a locked and secured hallway closet, inaccessible to residents. Criminal record clearances were present, and Staff are associated to this facility. Staff records appear to be complete and current. There were no health and safety hazards observed during the inspection. Exit interview conducted and a copy of this report was given.the state’s words, verbatim · CDSS document, Jun 26, 2025

Type of visit: Case Management - Other

On 06/10/25, at 11:42AM, Licensing Program Analyst Gina Saucedo conducted an unannounced site visit at this facility for the purpose of obtaining records. LPA met with Caregiver, Farrahnaz Javanmardi and explained the purpose of the visit. The administrator was called and advised of visit. During this visit, LPA obtained the following information: 1. Census 2. LIC 601 3. LIC 500 4. Resident Roster 5. POA or Conservator (Contact Information) for one resident 6. Physician Report 7. Admission Agreement 8. Rent Payment Source Exit interview conducted and a copy of this report was issued.the state’s words, verbatim · CDSS document, Jun 10, 2025

Allegation investigated: Staff did not reposition a resident, resulting in an unstageable pressure injury. Staff did not seek timely medical attention for a resident. Staff did not adequately bathe a resident.

Licensing Program Analyst (LPA) Mariana Agban conducted an unannounced subsquent complaint visit to investigate the above stated allegations. LPA met with the Administrator and explained the reason for the visit. LPA conducted a physical plant tour, to ensure the health and safety of the residents are protected and the physical plant is in compliance with Title 22 Regulations. LPA obtained copies of the resident roster and staff roster. Allegation: Staff did not reposition a resident, resulting in an unstageable pressure injury. It is alleged that the R1 developed a pressure injury while living at the facility. It is also alleged that the pressure injury worsened due to the failure of repositioning. LPA obtained hospital records which indicate that on 09/11/23 R1 presented with stage 3 or 4 pressure injury on the coccyx. Interview with Staff 1 (S1) revealed that it was reported to S1 sometime on or around September 8th, 2023 that there was slough coming out of R1's patch foam on the coccyx. R1 received Home Heath services and staff was instructed to reposition R1 every 2 hours. (Conintue on 9099C) Substantiated LPA obtained records of Home Health and of the Staff Daily Log. Documents revealed that Staff didn't reposition R1 every 2 hours as instructed resulting in an unstageable pressure injury. Based on information obtained the allegation is deemed Substantiated at this time. Allegation: Staff did not seek timely medical attention for a resident. It was alleged that staff did not seek timely medical attention for R1. On 09/10/23 R1 was taken to the hospital by a family member and was diagnosed with UTI, sepsis, and pressure injuries. S1 denied the allegation. Interview with S1 revealed that facility staff didn’t know the stage of the wound. S1 stated that there was a miscommunication between home health and facility staff. Interview with S2 revealed that they were unaware of R1's medical condition and that resident's medical conditions are being supervised by S1. Based on information obtained the allegation is deemed Substantiated at this time. Allegation: Staff did not adequately bathe a resident It was alleged that staff did not adequately bathe R1. Interviews with 4 out of 4 staff denied the allegation. Records review indicated that R1 had received a one time shower since their admission at the facility. S2 stated that facility staff failed to document daily showers and thus S2 conducted an in-service training to address the issue. Based on information obtained the allegation is deemed Substantiated at this time. Per California Code of Regulations (CCR), Title 22, see LIC 9099-D for deficiencies cited. An immediate civil penalty of $500 is also assessed. The licensee was informed that a civil penalty might be assessed based on the Health and Safety Code 1569,49(e) or (f), or 1548(e) or (f), 1568.0822(e) or (f). Exit interview conducted, appeal rights given and copy of this report signed and delivered.the state’s words, verbatim · CDSS document, Oct 31, 2024 · control 31-AS-20230927105732

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87615(a)(1) · Plan of correction due date: Nov 1, 2024

Persons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted or retained in a residential care facility for the elderly: (1) Stage 3 and 4 pressure injuries. This requirement was not met as evidenced by: Based on information obtained during the investigation the licensee did not comply with the cited section by retaining R1 at the facility with a stage 3 or 4 pressure injury which posed an immediate health and safety and personal rights risk to R1.the state’s words, verbatim · CDSS document, Oct 31, 2024

Plan of correction: Licensee and Administrator will schedule 4 hours vendorized training for themselves and all staff. Verification of the scheduled training with the credentials of the trainer will need to be emailed to the LPA by 11/01/24 Verification of completed training will need to be submitted to the LPA by 11/22/24

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87616(a) · Plan of correction due date: Nov 1, 2024

As specified in Section 87209, Program Flexibility, the licensee may submit a written exception request if he/she agrees that the resident has a prohibited and/or restrictive health condition but believes that the intent of the law can be met through alternative means. This requirement was not met as evidenced by: Based on information obtained during the investigation, the licensee did not comply with the cited section by not submitting an exception request to retain R1 at the facility with a prohibited health condition, which posed an immediate health and safety and personal rights risk to R1.the state’s words, verbatim · CDSS document, Oct 31, 2024

Plan of correction: Administrator will schedule and attend 1 hours vendorized training related to the cited section. Verification of the scheduled training with the credentials of the trainer will need to be emailed to the LPA by 11/01/24 Verification of completed training will need to be submitted to the LPA by 11/22/24.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87464(f)(1) · Plan of correction due date: Nov 1, 2024

Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement was not met as evidenced by: Based on the information obtained during the course of the investigation The licensee failed to comply with the cited section by not following instructions provided by medical professional related to the care of R1 which resulted in R1 developing prohibited health conditions and posing an immediate health and safety and person rights risk to R1.the state’s words, verbatim · CDSS document, Oct 31, 2024

Plan of correction: Licensee, Administrators will schedule 2 hours vendorized training for themselves and all staff related to the cited section. 1) Verification of the scheduled training with the credentials of the trainer will need to be emailed to the LPA by 11/01/24 Verification of completed training will need to be submitted to the LPA by 11/22/24. Because this violation resulted in resident developing prohibited health conditions as a result of improper care an immediate civil penalty in the amount of $500 is issued.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87464(f)(4) · Plan of correction due date: Nov 22, 2024

(f)Basic services shall at a minimum include: (4)Personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living such as dressing, eating, bathing and assistance with taking prescribed medications, as specified in Section 87608, Postural Supports. This requirement was not met as evidenced by: R1 didn't receive adequate bathing. This poses a potential health, safety or personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Oct 31, 2024

Plan of correction: Administrator will conduct training for all staff to address this section of the regulation. An attendance sheet will be submitted to the LPA by the POC date

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(g) · Plan of correction due date: Nov 1, 2024

Incidental Medical and Dental Care. The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health This requirement was not met as evidenced by: Based on information obtained, R1 was taken to the hospital by a family member and diagnosed with pressure injuries. Facility staff failed to seek medical attention for R1. This posses an an immediate health and safety and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Oct 31, 2024

Plan of correction: Administrator will schedule and attend 1 hours vendorized training related to the cited section. Verification of the scheduled training with the credentials of the trainer will need to be emailed to the LPA by 11/01/24 Verification of completed training will need to be submitted to the LPA by 11/22/24.

Type of visit: Case Management - Deficiencies

In conjunction to the complaint 31-AS-20230927105732 LPA Mariana Agban conducted a case management- Deficiencies visit. During the complaint investigation, it was confirmed that Licensee failed to submit Special Incident Report (SIR) for Resident 1(R1) to CCL regarding the development of the pressure injury. LPA conducted a file review and didn't observe SIR on file. Deficiencies Cited. Exit Interview Conducted. Report Issuedthe state’s words, verbatim · CDSS document, Oct 31, 2024

From the deficiency page — Deficiency type: Type B · Section cited: CCR 80061(b) · Plan of correction due date: Nov 22, 2024

Reporting Requirements. Upon the occurrence…a report shall be made to the licensing agency..., a written report ...within seven days following the occurrence of such event. This requirement was not met as evidence by: Based on file document review, the Licensee did not comply with the section cited above. Licensee didn't submit SIR for R1 regarding the development of the pressure injury. This poses a potential health and safety risk to clients in care.the state’s words, verbatim · CDSS document, Oct 31, 2024

Plan of correction: Administrator will conduct in service training reviewing the regulation section about reporting requirements. The Administrator will provide all training materials and signatures of all staff that have attended the training by the POC due date.

Type of visit: Required - 1 Year

On 04/08/24, 8:45AM Licensing Program Analyst (LPA) Raymond Comer conducted a required unannounced Annual visit to this facility. LPA met with caregiver who contacted the Facility Administrator. Brian Rosales (The Administrator) arrived at the Facility @ 9;15AM, and reason for the visit was discussed. Facility is licensed as a single-story residence, six (6) non-Ambulatory, of which, three (3) may be bedridden. Hospice waiver for six (6). Facility has six (6) private resident bedrooms and four (4) bathrooms. At 9:45AM, LPA conducted a tour of the physical plant with the Administrator and observed the following: Physical plant was inspected for cleanliness and condition. Facility’s main door is the primary entry/exit access. Screening area is located immediately upon entrance. Visitor Sign-in sheet, hand sanitizer, gloves and masks are available. Covid 19 prevention protocols are posted. Hand washing, coughing etiquette, and other necessary signage are posted in the bathroom and throughout the facility. Room temperature is comfortable; wall thermostat displays a setting of 78.0°F. within the required range. Side door is located west of house, exiting to back yard. All trash cans were observed to be covered. The facility has submitted an approved Mitigation and Infection Control plan. Required postings are prominently displayed and observed to be current at the facility. Disaster drills were last conducted on 4/02/2024. Fire Detection/Protection systems are present at facility. Multiple smoke alarms are installed, hardwired and interconnected. Two (2) Carbon monoxide alarms are installed. Both Smoke and Carbon monoxide detectors were tested and function properly. Fire extinguishers are located in Kitchen area and Hallway areas and are fully charged, with inspection service date: 03/26/2024. Medications are stored in a secured medications cart in dining room area and are inaccessible to residents. A First Aid kit is accessible and stored in a dining room area cabinet. Medications are listed in centrally stored medication cart and destruction record log. Laundry area is located and secured in hallway storage compartment near the kitchen. Laundry soaps and other cleaning agents are stored and inaccessible to residents. Linen storage observed to have adequate supply of linen and towels. Bedrooms are observed as clean with sufficient lighting, properly furnished with bedding, linens, at least one chair, and nightstand. Bathrooms were observed to be clean and sanitary with necessary supplies and required safety fixtures (grab bars, anti-slip floor stripping). Hot water temperature measured at 116.5°F. Within the required range. Garage is attached to the house and observed to be locked and inaccessible to residents. Garage is also used as storage for frozen foods, extra water and PPE supplies. Outdoor (backyard) area observed to have a shaded patio, with table with sufficient seating for the residents. Outdoor furniture observed to be in good condition. There are no bodies of water in the facility. Resident records were reviewed for current IPP and/or Needs and Services plans, physician report, and admission agreements. Resident records appeared to be complete and current. Staff records were checked. Staff files contain criminal record clearances and are associated to this facility. Staff records appear to be complete and current. There were no immediate health and safety hazards observed during the day of inspection. Exit interview conducted and a copy of this report was giventhe state’s words, verbatim · CDSS document, Apr 8, 2024