Routine inspection·July 23, 2024

On 07/23/24 around 09:10 AM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to conduct a required annual inspection. LPA was greeted by one care staff upon entry and explained the purpose of the visit. Joel Aliping, Administrator (ADM) arrived shortly after and currently holds a standard certificate #(6016976740 ) exp. 05/24/2024; awaiting new certificate. The facility’s fire clearance was approved for six (6), three (3) may be non-ambulatory residents. Margarita Dulagan , approved to sign report. Upon entry, One (1) resident was in their room and the other at the Day Program. LPA and ADM toured the facility including, but not limited to common areas, bathrooms, bedrooms, kitchen, storage, front yard and backyard. LPA observed mask, cough etiquette, social distancing and hand washing signs posted throughout. Routine safety drills are rotational between AM and PM schedules, and was last completed 03/2024. There was a sufficient supply of 2-day perishables and 7-day supply of non-perishable foods. All hand washing stations were equipped with soap, paper towels and garbage cans. There is a surplus of PPE centrally stored in the garage that is accessible to all care staff. Hot water temperature in the shared residents' bathroom was measured at 107.8 degrees Fahrenheit (F) and the facility's temperature was 71 degrees (F). Fire extinguisher was observed full and inspected 07/12/24. Smoke/Carbon Monoxide detectors were observed operational and two (2) first aid kits were complete. Licensee to tighten the door knob, and lower cabinet hinges in bathroom #2 upstairs (add locks if necessary), hire a landscaper for the yard to cutback the vines and weeds, haul away debris, iron gate, window screen, bikes and solar panels and other miscellaneous items from the storage, garage, and inside the facility. Continued on LIC809C... ...continued from LIC809. LPA reviewed two (2) staff files; they were complete with criminal background clearances, and two (2) completed resident files. The following forms are to be updated and submitted to CCLD 08/13/24: -LIC500 Personnel Report - Update -LIC308 Designation of Administrative Responsibility - Update -LIC610 Emergency Disaster Plan - Update -Resident Roster - Update -An updated copy of Administrator Certificate(s) (Reviewed) -Liability Insurance -Updated Facility Sketch to include storage. Exit interview conducted and a copy of this report provided to Margarita Dulagan, Care Staff.