Routine inspection·April 18, 2024

On 4/18/2024 at 8:45 AM, Licensing Program Analysts (LPA) K. Nguyen and G. Luk arrived unannounced to conduct 1-Year Annual Required inspection. LPAs met with facility Administrator, Elena Mihale and explained the purpose of the visit. Licensee, Luciana Arellano arrived 30 minutes later. LPAs toured facility with Elena including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 7 total bedrooms which 3 bedrooms are occupied by the residents and 2 bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 68 degrees Fahrenheit. LPAs observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 116 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. At 11:00 AM, LPAs reviewed 3 clients records. At 11:30AM, LPAs reviewed 2 staff records. At 1:00PM, LPAs reviewed a sample of resident’s medications. During the inspection deficiency was observed: At 9:20AM, LPAs observed unlocked knifes in the sink and cabinet, unlocked cleaning supplies under sink and bug spray on the side of the refrigerator. Administrator locked up the knives, cleaning supplies and bug spray during inspection. At 9:25AM, LPAs observed unlocked medications in the refrigerator and cabinet. Administrator locked up the medications during inspection. At 9:30AM, LPAs observed window screen in staff room and bathroom fan is in disrepair. LPAs also observed dog feces in the side and back yard. Administrator cleaned up the dog feces during inspection. Report continued on LIC 809c... At 9:45AM, LPAs observed expired can goods in cabinets. Administrator threw away expired can goods during inspection. At 9:55AM, LPAs observed video baby monitor in all resident's rooms. Administrator removed the baby cameras during inspection and will start using call buttons. At 11:30AM, LPAs observed residents do not have preplacement appraisals and needs & service plans. At 12:00PM, LPAs observed liability insurance policy in 2023 was TBD. LPAs were informed by licensee that policy was canceled at the end of 2023 and is in the process of obtaining liability current insurance. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and Health & Safety Code. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted with Luciana Arellano. A copy of this report and appeal rights were provided.