Routine inspection·December 1, 2023

On 12/1/2023 at 1:05pm, Licensing Program Analyst (LPA) L. Hall conducted an unannounced 1-Year Required inspection. LPA met with Norma Tejero, Administrator, and explained the purpose of the visit. LPA toured the facility with Administrator including but not limited to bedrooms, bathrooms, kitchen, common area and back yard. LPA did not observe any bodies of water. A comfortable temperature is maintained at 66 degrees F. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the shared bathroom was measured at 103.9 degree F. One shower room was locked and the other shower room was equipped with grab bars. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 01/02/2023. Fire drill was last conducted on 4/5/2023. Six (6) staff records were reviewed and are complete. LPA reviewed eight (8) resident records and all were complete. Continued on LIC809. Continued from LIC809. LPA observed the following deficiencies: At 2:40pm, LPA observed exit gated and drive thru gate on right side of building both had key padlocks. At 2:40pm, LPA observed garbage cans, bed frames, window blinds, a table,, and bins located on right side of building At 2:45pm, LPA observed outside ceiling with cracks and wooden boards put together to hold ceiling up (LPA have pictures). At 2:55pm, LPA observed facility did not maintain 7-day non-perishables and 2 day perishable food for residents. LPA observed a lot of hot dogs, frozen lasagna, frozen mixed vegetables, frozen pork, milk, eggs, cake mix. At 3:05pm, LPA observed broken window located on left side of building. At 3:15PM, LA observed a portable heater in bedroom #40 and was notified the heater for the facility does not work. At 3:55pm, LPA observed facility did not have a complete first aid kit or any extra first aid supplies. LPA requested the following documents to be submitted to CCLD by 12/8/2023. LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance Continued on LIC809C. Continued from LIC809C. The deficiencies were observed (see LIC809D) and cited from the California Code of Regulation, Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. *An immediate $500.00 civil penalty will be assessed on today's date for emergency exit being locked.* Exit interview conducted. A copy of the LIC421IM, this report and appeal rights provided.