Routine inspection·May 7, 2024

On 05/07/2024 at 9:47AM, Licensing Program Analysts (LPA) T.Syess-Gibson conducted an unannounced 1-Year Required inspection. LPA met with Caregiver Rhonette Santos, spoke with Administrator Rakhee Sharma via telephone, and explained the purpose of the visit. The Administrator arrived at 10:49AM and currently holds a certificate (#6011933740) that expires on 08/07/2024. The facility’s fire clearance was approved for six (6) non-ambulatory residents. LPA explained to Administrator that it is required to be available at the facility during the hours indicated on the LIC500. Administrator stated the schedule is wrong and will update schedule with actual hours available during normal business hours and send to CCLD. LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and back yard. The facility consists of six (6) bedrooms and three (3) bathrooms. LPA did not observe any bodies of water. A comfortable temperature is maintained at 75 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 120.6 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and no skid mats. There is a minimum of 7-day supply of non-perishable and 2-day of perishable foods. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 10/10/2023. Emergency Disaster Plan was last posted on 01/05/2024. First aid kit was observed to be complete. Fire drill was last conducted on 03/25/2024. Continued on LIC809C. Continued from LIC809. LPA reviewed five (5) resident records and three (3) staff records, and they were current and complete. LPA also reviewed a sample of medication. LPA requested the following documents to be submitted to CCLD by 05/14/2024 : · LIC 200 and Updated Facility Sketch · LIC 308 Designation of Administrative Responsibility · LIC 309 Administrative Organization · LIC 500 Personnel Report (Updated with Administrator available hours during normal business hours) · LIC 610E Emergency Disaster Plan LPA observed the following deficiency: · At 10:19AM LPA observed food stored and locked in the laundry room Deficiency is 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 of this report and appeal rights provided. Continue on LIC809D