Routine inspection·February 20, 2025

At approximately 10:00AM, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct a Required 1 Year annual inspection and met with Staff Members, Ellen Salazar, Caregivers and explained the purpose of the visit. Jovita Bollisos, Administrator arrived at approximately 10:30AM. LPA conducted a tour of the facility and observed the following: the facility consists of 4 bedroom and 2 bathrooms. 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 clients use. LPA reviewed 6 Clients records, which were all complete. LPA reviewed a sample of staff records. LPA reviewed 5 staff files. Staff files were complete. Administrator's Certificate# (6011284740) was current with an expiration date of 10/26/26. Facility's fire extinguishers were last inspected 7/15/2024. Smoke detectors and carbon monoxide detectors were tested and operational. Hot water temperatures for all sinks in facility were within Title 22 regulations of 105 to 120 degrees Fahrenheit. Facility have a surety bond effective 6/1/24 to 6/1/27. Continued on LIC809C. Continued on LIC809C. Deficiencies observed by LPA during tour: · At 12:30PM LPA observed 3 knives, and 1 scissors unlocked located in the kitchen. · At 12:55PM LPA observed open packages of ham, cheese, Ect, and vegetables that are dried inside the refrigerator. · At 1:00PM LPA observed mouse or rat droppings underneath the sink cabinet. · At 1:10PM LPA observed prescribe medication unlocked in the refrigerator, kitchen cabinet, and bathroom. · At 1:25PM LPA observed emergency exit is being blocked in resident room. · At 1:35PM LPA observed unlocked and located, Lysol wipes in the kitchen area, and bleach underneath the sink. 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. A copy this report and appeal rights provided.