Routine inspection·December 4, 2024

On 12/15/2023 at 1:07PM, Licensing Program Analyst (LPA) T. Syess-Gibson, conducted an unannounced 1-Year Required inspection. LPA met with Merlita Vital, Caregiver and LPA explained the purpose of the visit. Merlita contacted Administrator via telephone and explained purpose of visit. Administrator, Alexandria Liu arrived at 1:32PM. The facility’s fire clearance was approved for five (5) non-ambulatory and 1 bedridden resident. LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and back yard. The facility consists of four (4) total bedrooms and two (2) bathrooms. All outdoor and indoor passageways are kept free of obstruction. A comfortable temperature is maintained at 73 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 111.8 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of 7-day supply of non-perishable and 2-day of perishable foods. Smoke detectors/ carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 08/14/2024. Emergency Disaster Plan was last posted on 12/13/2023. First aid kit was observed to be complete. Continued on LIC809C Continued from LIC809. Three (3) staff records were reviewed and all staff have criminal record clearance. All four (4) resident records were reviewed and complete. LPA requested the following documents to be submitted to CCLD by 12/11/2024 . · LIC 308 Designation of Administrative Responsibility · LIC 500 Personnel Report · Resident roster · Liability Insurance LPA observed the following deficiencies: · At 2:00PM, LPA observed bleach disinfectant spray, fabuloso multi-purpose cleaner, laundry detergent and Windex in an unlocked garage. · At 2:14PM, LPA observed scissors in an unlocked kitchen drawer. · At 3:13PM, LPA observed during file review S1 and S2 weren't available at the facility for inspection. 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 and a copy of this report and appeal rights provided.