Routine inspection·February 14, 2024

At approximately 9:45AM, Licensing Program Analysts (LPAs) Carol Fowler and Tonica Syess-Gibson arrived unannounced to conduct a Required 1 Year annual inspection and met with Staff Members, Delia Martinez, Caregivers. Maria Janice Vizcarra, acting Administrator arrived at approximately 11:05AM. LPA conducted a tour of the facility and observed the following: the facility was clean and at a comfortable temperature with all exits free from obstruction. Bathrooms were equipped with necessary grab bars, and non-slip floors/mats were present. There is a sufficient supply of hygiene products, paper products, and linens available for resident use. Medication was centrally stored and secure. LPA reviewed 4 of 6 resident records, which were all complete. LPA reviewed a sample of staff records. LPA reviewed 3 staff files. Staff files were complete. Administrator's Certificate# (6011284740) was current with an expiration date of 10/26/2024 The facility conducted fire and evacuation drill on 1/21/2024. Facility's fire extinguishers were last inspected 12/13/2023. Smoke detectors and carbon monoxide detectors were tested and operational. The amount of fresh and non-perishable foods are within regulation. Hot water temperatures for all sinks in facility were within Title 22 regulations of 105 to 120 degrees Fahrenheit. Continued on LIC809C. Continued from LIC809 LPAs requested the following documents to update facility file: · Designation of Facility Responsibility (LIC 308) · Control of Property · Emergency Disaster Plan (LIC 610D) · Updated Liability Insurance Facility Documents to be submitted to Community Care Licensing (CCL) by due date of Friday, 02/21/2024. Deficiencies observed by LPA during tour: At 10:00AM LPAs observed 3 scissors unlocked located in the kitchen. At 10:49AM LPAs observed glade in bedroom #2. At 10:50AM LPAs observed unlocked scissors in china cabinet, first-aid cabinet unlocked. At 10:55AM LPAs observed unlocked located in the garage All and Gain laundry detergent, Lysol wipes. At 11:06AM LPAs observed unlocked storage unit with paint, drill, bundo, weed eater, wood planks and ladder in the backyard. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. Exit interview conducted. Copy of report, LIC-809 & 809C, LIC-809D (Deficiency Page), Plan of Corrections, and Appeal Rights discussed and provided to staff.