Routine inspection·June 24, 2025

On 06/24/2025 at 8:45 AM, Licensing Program Analyst (LPA) P. Manalo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Direct Care Staff, Gene Messick, and explained the purpose of the visit. Administrator gave authorization for staff to sign the report. LPA toured facility inside and out including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 5 total bedrooms which 3 bedrooms are occupied by the residents and 2 bedroom is occupied by staff. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Residents’ bathrooms are equipped with grab bars and non-skid mats. Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 07/26/2024. At 9:27 AM, LPA reviewed 1 staff record. The other 2 staff records were not at the facility for review. At 9:37 AM, LPA reviewed 3 residents records. At 11:00 AM, LPA reviewed a sample of resident’s medications. Updated copies of the following documents were requested for facility file and are to be submitted to CCLD by 07/02/2025: LIC 308 Designation of Administrative Responsibility LIC 500 Personnel Report Liability Insurance Continue to LIC809-C... Continue from LIC809... THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: At 9:04 AM, LPA observed unlocked medication in the kitchen fridge. At 9:10 AM, LPA observed canned food in the same storage area as laundry detergent, Ajax cleaning supply, dish soap, Febreeze, etc. At 9:11 AM, LPA observed the left side gate locked with a Masterlock and a wooden board and the right side locked with a metal chain. Civil Penalty of $500 is assessed. At 9:37 AM, staff records were not at the facility for review. Civil Penalty of $250 is assessed. At 9:37 AM, LPA did not observe any staff training. At 10:09 AM, record review showed that R2 and R3’s files were incomplete. At 10:14 AM, observation and record review showed that R1 and R2 with half bed rails and no doctor's order. At 10:24 AM, LPA observed the hot water temperature measured at 131.5 degrees F. At 10:58 AM, record review revealed that all staff did not have First Aid and/or CPR Certification. The Facility was cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted with Direct Care Staff. Appeal Rights, Civil Penalty, and a copy of this report provided.