Routine inspection·February 15, 2024

On 2/15/2024 at 12:00pm, Licensing Program Analysts (LPAs) L. Hall and T. Syess-Gibson conducted an unannounced 1-Year Required inspection. LPAs met with Caregiver Magdalena Lucero, and explained the purpose of the visit. House Manager, Noel Morales, arrived at 12:20pm. Administrator was out-of-the country. LPAs toured the facility with Caregiver including but not limited to bedrooms, bathrooms, kitchen, common area and back yard. The facility consists of five (5) bedrooms and two (2) bathrooms. Staff occupies one (1) bedroom. LPA did not observe any bodies of water. A comfortable temperature is maintained at 71 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 106.5 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last purchased on 05/13/2023. Emergency disaster plan last updated 2/1/2024. First aid kit was observed to be complete. Five (5) staff records were reviewed. None of the staff are CPR trained. LPAs reviewed all five (5) resident records and they were current and complete. Continued on LIC809C. Continued from LIC809. LPA requested the following documents to be submitted to CCLD by 2/22/2024. LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan (last page) Liability Insurance Resident roster Administrator certificate Updated facility sketch The following deficiencies were observed: At 12:35pm, LPAs observed during record review none of the staff were CPR trained. At 12:45pm, LPAs observed knives in unlocked cabinet underneath kitchen sink. At 12:50pm, LPAs observed 1/4 gallon of milk, 2 apples, 3 oranges, no fresh vegetables. Facility did not have a 7-day supply of non-perishables and 2 day supply of perishables. At 12:35pm, LPAs observed a hoe, portable toilet, and a chair in back yard on right side of house. At 1:20pm, LPAs observed during record review facility is not maintaining a record of each dose of medication in the resident's record Continued on LIC809C. Continued from LIC809C. The deficiencies were observed (see LIC809D) and cited from the California Code of Regulation, Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted. A copy of the appeal rights and this report provided.