Routine inspection·June 24, 2025

On 6/24/2025, at 2pm Licensing Program Analyst Arvin Villanueva (LPA) arrived unannounced at this facility to conduct their required annual inspection visit. LPA initially met with the staff on duty Paulette Cameron (S1) and stated the purpose of this visit. The facility supervisor Renae Earl (S2) was notified and arrived shortly after. The Licensee Chukwudi (Patrick) Ikiseh was notified of the visit. Present during this visit were 4 residents in care with one staff on duty. Upon arrival, LPA observed 2 residents in the living room sitting on the sofa watching TV. Two other residents were in their bedrooms. LPA evaluated the physical plant with S2 to ensure the health and safety of the residents in care. The facility is a one-story home located in a residential neighborhood. Areas inspected including but not limited to the kitchen, 3 resident bedrooms, 3 resident bathrooms, living and dining room and outdoor areas. LPA observed the inside of the facility to be clear of obstructions at this time. LPA inspected 3 of 3 resident bedrooms. LPA did not inspect staff room during this visit. LPA measured the hot water temperature in 1 resident bathroom located in the master bedroom and was at 110 degrees Fahrenheit. Room temperature upon arrival was observed at 77 degrees Fahrenheit. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Fireplace was observed to be screened. Inspection of the kitchen, LPA observed 2 scissors inside one of the kitchen drawer. S1 immediately placed them in a locked drawer. Also, in one of the kitchen cabinet, LPA observed cleaning supplies that were not locked. Inside the kitchen refrigerator, LPA observed resident injectable medication that was not locked and accessible to residents in care. S2 immediately placed the medication inside the garage refrigerator and ordered lockable box. LPA also observed 3 pills in a medication cup inside one of the kitchen cabinet. S1 immediately removed the medication pills. {1 of 2} Outdoor area was inspected. Facility has one exit gate. Pool was observed to be fenced, locked and not accessible at this time. Facility is equipped with solar powered generator. LPA observed the storage shed to be unlocked. Inside the storage shed, LPA observed sharp gardening tools and chemicals (photos were taken). S2 immediately locked the storage shed. Fire extinguisher located in the kitchen was observed and were last inspected on 6/13/2025. Smoke and carbon monoxide detectors were observed and found to be working during this visit. LPA observed centrally stored medications, toxins, and sharp objects were kept locked and inaccessible to residents in care, except for the injectable medication that was found in the kitchen refrigerator, cleaning supplies in one of the kitchen cabinet, scissors inside a kitchen drawer and sharp gardening tools and chemicals found inside the storage shed. During an inspection of the garage with S2, LPA observed beddings to be propped up. Per interview with S2, staff does not use this garage as a sleeping area since this home has a staff bedroom. Review of 4 resident files (R1, R2, R3 R4) include review of Admission Agreement, Physician Reports, Needs and Services Plan, Centrally Stored Medication Record and Ambulatory Status. Advisory was provided to ensure each resident have PRN authorization letter signed by their physician on file. Medication review was conducted for 2 of the residents (R2 and R3). No issues were noted at this time. Review of 3 staff files (S1, S2, and S3) include review of background clearance, First Aid/CPR certificate, Health Screen, Initial and Ongoing Training. Administrator Certificate is current. Facility conducts quarterly disaster drill. Facility has a dementia and infection control plan. Administrator to submit current Liability Insurance Certificate, LIC500 and LIC308 to the Department. Per the California Code of Regulations, Title 22, Division 6, Chapter 8, deficiencies were observed during today's visit. Exit interview was conducted and a copy of the report and appeal rights were provided upon exit. {2 of 2}