Post-licensing visit·May 14, 2025

On 05/14/2025 at 11:50AM, Licensing Program Analyst (LPA) T. Syess-Gibson conducted an unannounced post licensing inspection. LPA met with Emarita Morales, Caregiver. Emarita contacted Administrator, Ryan Alejo via telephone and advised purpose of visit. Administrator arrived at 2:00PM. LPA toured facility including but not limited to bedrooms, bathrooms, dining area, living room, kitchen, garage, and outdoor area. Fire extinguisher was observed to be full and last serviced on 04/15/2025. Medications were in a locked closet in hallway. Comfortable room temperature is maintained at 73 degrees F. Hot water temperature in the shared residents’ bathroom was measured at 109.1 degrees Fahrenheit. LPA observed One week of non-perishable and 2-day perishable food supplies were sufficient. Carbon monoxide and smoke detectors were observed in operating condition. First-aid kit was complete, and hygiene items for resident general use are sufficient. Extra linens and towels were observed in the hallway closet. Last fire drill was conducted on 2/26/2019. There are no accessible bodies of water observed. Continue on LIC809C Continued from LIC809 LPA reviewed all four (4) residents records, and four (4) staff records and they were all complete. All staff are fingerprint cleared, has FirstAid/CPR and associated to the facility. The following forms to be updated and submitted to CCL by 05/21/2025 : LIC 500- Personnel Report LIC 308- Designation of Facility Responsibility LIC 610E- Emergency/Disaster Plan (9 pages) Evidence of Liability Insurance At 2:00PM, LPA observed during record review, staff members does not have the required training and Dementia Care training At 2:10PM, LPA observed during file review three(3) out of four (4) residents does not have doctor's orders for bedrails. The following 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. Appeal Rights and a copy of this report provided .