Routine inspection·April 18, 2024

On 04/18/2024 at 1:45PM, Licensing Program Analysts LPAs L. Hall and L. Holmes conducted an unannounced Annual 1-year required inspection. LPAs met with Administrator, Marcelina Badeo, and explained the reason for the visit. The administrator currently holds a certificate (#6035565740) that expires on 06/02/2025. The facility’s fire clearance was approved for five (5) Non ambulatory and one (1) Bedridden residents. LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of seven (7) bedrooms and three (3) bathroom. Two (2) bedrooms are occupied by staff. LPA observed pool in the back yard is inside a locked fence. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. A comfortable temperature is maintained at 71 degrees Fahrenheit. LPAs 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 106.4 degrees Fahrenheit. Night lights are maintained in hallways and passages. Residents’ bathrooms are equipped with grab bars no and non slip mats Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 01/30/2024. Emergency Disaster Plan was last posted on 09/02/2023. First aid kit was observed to be complete. Fire drill was last conducted on 6/10/2022. Continued on LIC809C. Continued from LIC809C LIC 610E Emergency Disaster Plan Residents roster Updated facility sketch for patio room and door for #6 Liability Insurance LIC308 Designation of facility responsibility LIC500 Personnel record LPAs observed the following deficiencies: At 2:10pm, LPAs observed during record review R3 and R4's files are not completed. At 3:00pm, LPAs observed during record review S3 did not have health screening or TB test. At 3:00pm, LPAs observed facility did not have 7-days perishables and 2 days non perishable food supply. At 3:55pm, LPA observed wooden planks, shovels, pruner, home defense, paint rollers, and a gallon paint in backyard. Deficiencies cited per Title 22 California Code of Regulations and listed on LIC809D. 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. Exit interview conducted. A copy the appeal rights and a copy of this report provided.