Routine inspection·December 26, 2024

On 12/26/24 Licensing Program Analyst (LPA) M. Garza arrived unannounced for an annual inspection visit. LPA was met by Direct Care Staff, Leticia Aldana, explained reason for visit and was permitted entry into the facility. Administrator, RoseMarie Riemer was contacted and arrived some time later. LPA completed a health and safety check on residents in care. LPA toured the facility inside and out. 2 of 5 residents present during todays visit. Residents observed in common area and in room. Pathways and doors were clear and free from obstruction inside facility. Facility was clean and without odor. Common areas were clean, adequately furnished, and adequately lit. Carbon monoxide detectors were present and operational at time of visit. Fire extinguisher last serviced 01/11/2024. Last fire drill on 10/24/24. Linen supplies are kept in linen closets. Sharps and medications were located in locked cabinet and lock box. LPA observed sufficient seating under covered patio areas. The following issues were observed during todays visit: Chemicals/items posing a danger observed in kitchen cabinets and in living room unlocked and accessible. Staff does not have current CPR/1st aid. Front right side walkway is slippery. Front light to right of house non-functioning. Bedroom #3 has broken outlet cover. Dishwasher non-functioning. Pool non-functioning and has dirty water. Mattress in R1's bedroom in need of replacement. R1's bedroom in need of touch up paint near bed and near closet. R1's bedroom missing night stand. 1 of 5 resident missing lamp. Bedroom #2 restroom has broken tiles in need of replacement. Laundry room observed with holes in wall in need of repair. Vent in laundry room in need of cleaning. Bedroom #3 door in need of repair. Bathroom #2 observed with bathtub and sinks in need of resurfacing and shower in need of cleaning. Bathroom #2 cabinets in need of repair or replacement. Bathroom #2 toilet missing toilet cover. CONT... CONT... Bathroom #3 in need of paint around toilet. Bedroom #4 missing night stand. Backyard patio roof observed with holes in need of repair. Freezer in garage in need of defrosting. Box spring in garage observed with hole and in need of disposal. Oxygen tank without stand/strapped down observed in garage in need of removal/disposal. Garage observed with debris in need of removal. Back door window observed broken in need of repair. Large left side gate broken and in need of repair. Wires exposed on HVAC unit in need of repair. Right side gate does not open/close properly. Tiles in front walkway missing or cracked in need of repair. Driveway observed with missing concrete in need of repair. Back door trim in need of replacement. Kitchen observed with spider webs/dust above stove and on fan. Kitchen tiles broken and in need of replacement near sink. Let us know posing incorrectly sized. Required postings not posted. Facility does not have a device for resident use. No current administrator with valid certificate. No planned activities for the residents. Facility does not have any magazines or newspapers for current events. Resident files do not have the required items. Staff files do not have initial/ongoing training. Deficiencies and Tv's cited per Title 22 on 809D's. LPA requested the following documents to be submitted to CCL by 1/3/24: current copy of Administrator’s Certificate, Administrator Organization (LIC 309), Designation of Administrative Responsibility (LIC 308), Emergency Disaster Plan (LIC 610-E), Affidavit regarding Resident Cash Resources (LIC 400), Personnel Report (LIC 500), Register of Facility Clients/Residents (LIC 9020) in order to update the facility file. Exit interview completed with Administrator, RoseMarie. A copy of this report deficiencies, TV's and appeal rights provided via email due to technical issues. A delivered and read receipt serves as confirmation.