Routine inspection·May 14, 2025

On this day, May 14, 2025, at 3:30 pm, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA was granted entry by staff, Ernesto Cochico Jr.. LPA also met with other staff, Joana Tiglao. LPA called and spoke with Milanette Escueta, administrator, over the phone, who authorized Joana Tiglao to be with LPA during inspection. Kristine Reta, assistant administrator (AADM), arrived at around 4:20 pm. LPA toured the facility inside out with Joana Tiglao. LPA inspected the kitchen, dining area, living room, bedrooms, bathrooms, garage, front, side and backyards. Food supplies were observed good for 2 days of perishables and 7 days of non-perishables. Central storage for medications was observed locked. Hot water temperature in the common bathroom was tested and measured at 106 degrees Fahrenheit. Fire extinguisher was observed fully charge with tag showed serviced March 3, 2025. Facility conducts fire and earthquake drills at least every quarter and records show ed last conducted February 15, 2025 and March 15, 2025 respectively. LPA reviewed 5 staff files. ......continued on 809C LPA observed the following: -at 5:10 pm, staff (S2) does not have the required 4 hours postural support, restricted health condition and hospice care training for 2024 -at 5:20 pm, staff (S3) has only 2 hours of the 4 hours required postural support, restricted health condition and hospice care training for 2024. Administrator to submit copies of the following updated/current documents by May 28, 2025: 1. LIC308 Designation of Facility Responsibility 2. LIC500 Personnel Report 3. LIC610E Emergency Disaster Plan (9 pages) 4. Proof of Surety Bond coverage 5. $3M Liability Insurance certificate Deficiency is cited from Title 22 California Code of Regulations and listed on 809D. Failure to submit proof of correction (POC) by plan of correction due date and any repeat violation within 12 month period may result in civil penalty. Deficiency and plan and proof of correction were discussed with the ADM. Due to time constraint, LPA will come back to continue inspection. Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided.