Routine inspection·September 12, 2024

On 9/12/2024 at 10:55AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with caregiver, Amankai Pomee and explained the purpose of the visit. Administrator, Felomena Tabones arrived 45 minutes later. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, garage, and outdoor area. Smoke and carbon monoxide detectors were observed. Fire extinguisher was observed to be full and last serviced on 9/10/2024. One week of nonperishable and 2-day of perishable food supplies were available. LPA observed grab bars and non-skid mat in the bathrooms. There were adequate lights in each room. Resident rooms were observed to be cleaned and fully furnished. First Aid kit is complete. LPA reviewed 4 residents and 3 staff files starting at 12:15PM. LPA reviewed a sample of resident's medications during inspection. LPA interviewed 2 residents and 2 staff during inspection. At 11:22AM, LPA measured hot water temperature at 133.3 degrees F in the hallway bathroom. Administrator has lowered hot water and LPA re-measured hot water at 120 degrees F. At 11:30AM, LPA observed unlocked gardening tools (shovel, rack, axe) in the backyard. Staff locked up the items during inspection. At 12:00PM, LPA observed two resident's rooms have baby monitor inside and the receiver was located in the living room area. Staff removed the baby monitors during inspection. (Continue on LIC809C...) At 1:20PM, LPA observed residents records and staff records were incomplete. LPA was informed that some records were at a different location and not at the facility. LPA will return at a later time to complete annual inspection. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights was provided.