Routine inspection·October 25, 2023

On 10/25/2023 at 12:10PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with caregiver, Gaye Basilio and explained the purpose of the visit. Licensee/ Administrator, Diosdado De Luna arrived 15 minutes later. The facility’s fire clearance was approved for 5 non-ambulatory residents and 1 bedridden resident of which 1 residents 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. One week of nonperishable and 2-day of perishable food supplies were available. Medications were locked in a cabinet. Hot water temperature was measured at 120 degrees F in the hallway bathroom. LPA observed grab bars and non-skid mat in the bathroom. There were adequate lights in each room. Resident rooms were observed to be cleaned and fully furnished. First Aid kit is complete. LPA reviewed 3 resident and 3 staff files starting at 12:55PM. LPA reviewed a sample of resident's medications starting at 2:30PM. LPA interviewed 2 residents and 2 staff at 2:55PM. At 12:25PM, LPA observed unlocked cleaning supplies in the hallway closet and unlocked gardening tools in the backyard. Licensee locked up the cleaning supplies and gardening tools during inspection. At 1:25PM, LPA observed R2 and R3 does not have current needs and service plans on file. At 1:40PM, LPA observed S1 does not have chest x-ray result on file during record review. (Continue on LIC809C...) At 1:45PM, LPA observed staff (S1, S2, S3) does not have current CPR training completed. Licensee called and scheduled CPR training on 11/1/2023 during inspection. At 2:00PM, LPA observed facility's last disaster drill was conducted on 2021. At 2:10PM, LPA observed staff (S2, S3) does not have current annual training completed. At 3:10PM, LPA observed doctor's order (dated 8/18/2023) stated Tylenol 325mg was ordered for R1. However, facility has been giving Tylenol 500mg to R1. Additional, R1 has PRN doctor's orders for Senna 8.6mg and Docusate Sodium, but facility does not have these medications available. Licensee received a new PRN doctor's order for Tylenol 500mg. Licensee purchased Senna and Docusate Sodium during inspection. 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. A copy of this report, civil penalty, and appeal rights was provided.