Routine inspection·April 30, 2024

On 04/30/2024 at 1:15 PM, Licensing Program Analyst (LPA) Lori Alexander arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Caregivers, Caysha Meltel and Montealto Nemsio and explained the purpose of the visit. Caysha phoned the Licensee/Administrator, Anabelle Galera to inform. Licensee/Administrator, Rudy Galera arrived shortly. Licensee/Administrator, Anabelle arrived approx. an hour later. The facility’s fire clearance was approved for eight (8) residents in which all may be non-ambulatory. Hospice waiver approved for four (4) residents. Administrator's Certificate # 6014138740 and 6014136740 expired 02/23/24 and 02/24/24 but are currently being renewed. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 11 total bedrooms which 8 bedrooms are occupied by the residents and 3 bedrooms 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 72 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 bathrooms was measured at 104.5 and 109.2 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. LIC809-C Continued... LIC809-C Continued... Smoke and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 10/03/23. Emergency Disaster Plan was last posted on 09/23. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 01/25/24. LPA reviewed 8 residents records. LPA reviewed 6 staff records and 6 of 6 have current first aid training and associated to the facility. 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. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 05/07/2024: LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance Exit interview conducted. Appeal Rights and a copy of this report provided.