Routine inspection·March 25, 2024

On 3/25/2024 at 9:50AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with caregiver, Roy Catilo and explained the purpose of the visit. Administrator, Diosdado De Luna arrived 15 minutes later. The facility’s fire clearance was approved for 6 non-ambulatory residents of which 1 resident maybe under hospice care. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, garage, and outdoor area. Smoke and carbon monoxide detectors were observed. Fire extinguisher was observed to be full and last serviced on 1/29/2024. One week of nonperishable and 2-day of perishable food supplies were available. LPA observed grab bars and non-skid mat in the bathrooms. There were adequate lights in each room. First Aid kit is complete. Last fire drill was conducted on 1/15/2024. LPA reviewed 3 residents and 3 staff files starting at 10:45AM. LPA reviewed a sample of resident's medications starting at 1:00PM. LPA interviewed 2 residents and 2 staff at around 2:30PM. At 10:10AM, LPA observed the swimming pool gate was unlocked during inspection. Administrator locked the gate during inspection. Civil penalty of $500 is being assessed. At 10:15AM, LPA observed unlocked knives in the kitchen cabinet. Staff locked up knives during inspection. At 10:30AM, LPA measured hot water temperature at 131.9 degrees F in the hallway bathroom. Staff lowered hot water temperature and LPA re-measured hot water at 107.1 degrees F. At 10:50AM, LPA observed R1, R2, and R3 did not have current medical assessment on file. (Continue on LIC809C...) At 11:20AM, LPA observed S4 did not have fingerprint clearance and was at the facility during visit. S4 left the facility during inspection. Civil penalty of $100 is being assessed. At 11:30AM, LPA observed staff did not have current annual training. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and Health & Safety Code. Failure to correct deficiencies may result in civil penalties. Exit interview conducted with Diosdado De Luna. A copy of this report, civil penalties, and appeal rights was provided.