Routine inspection·August 7, 2024

On 8/07/2024 at 10:15AM, Licensing Program Analyst (LPA) Carol Fowler conducted an unannounced 1-Year Required inspection. LPA met with Maricel Gorremans Caregiver, and explained the purpose of the visit. Norberto Geronimo, Administrator arrived at 11:30AM. The Administrator currently holds a certificate (#7003393740) that expired on 04/15/2026 and is waiting on his renewed certificate to be mailed. The facility’s fire clearance was approved for five (5) non-ambulatory and one (1) bedridden residents. LPA toured the facility with Caregiver and Administrator including but not limited to bedrooms, bathrooms, kitchen, common area, garage and backyard. The facility consists of eight (8) total bedrooms which two (2) rooms are occupied by staff and four (4) bathrooms which one (1) is designated for staff use. 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 bathroom was measured at 109.1 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 12/07/2023. Emergency Disaster Plan was posted. First aid kit was observed to be complete. Earthquake and fire drill last conducted on 06/28/2024. CONTINUE ON LIC809C. CONTINUE FROM LIC809 LPA reviewed five (5) resident files and three (3) staff files all complete. LPA observed the following deficiencies: · At 1:55pm LPA observed washing machine, 2 ladders, 3 commodes, shovel and planting pots located on the side of the home in the backyard. LPA requested the following documents to be submitted to CCLD by 08/14/2024. · Resident Roster · LIC 308 Designation of Administrative Responsibility · LIC 309 Administrative Organization · LIC 500 Personnel Report · LIC 610E Emergency Disaster Plan (9 pages) · Liability Insurance The deficiency was observed (see LIC809D) and cited from the California Code of Regulation, 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