Routine inspection·March 7, 2025

On 3/07/2025 at 8:30 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Licensee, Erlinda Gines and explained the purpose of the visit. The facility’s fire clearance was approved for all may be non-ambulatory. LPA toured facility with Licensee including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. Heater is currently out of service since 3/6/2025 and is scheduled for repair 3/7/2025 temperature is maintained at 58 degrees Fahrenheit. LPA 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 109.7 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last purchased on 04/13/2024. Emergency Disaster Plan not available. First aid kit was observed to be complete. At 10am, LPA reviewed 6 residents records. At 10:40 am, LPA reviewed 2 staff records and 2 of 2 have current first aid training and associated to the facility. Report Continues on LIC809-C THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: LPA observed kitchen drawer unlocked with butcher Knife and kitchen scissors LPA observed the medication cabinet unlocked and over the counter medication unlocked in kitchen cabinet used by staff. LPA observed staff working at facility that is listed as excluded in Guardian. $500 civil penalty Facility does not have an updated/current emergency disaster plan Facility does not have records of emergency disaster drills ***Civil Penalties in the amount of $500 are being assessed on todays date*** Administrator had to leave the visit early and Licensee approved caregiver to sign report. The following deficiencies were observed (see LIC 809D) and 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. Appeal Rights and a copy of this report provided.