Routine inspection·January 21, 2025

On 01/21/24 Licensing Program Analysts (LPAs) M. Garza and M. Medina arrived unannounced for an annual inspection visit. LPAs were met by Direct Care Staff, John Agustin and Cheryl Nolasco . LPA introduced self, explained reason for visit and was permitted entry into the facility. LPAs completed a health and safety check on residents in care. LPAs toured the facility inside and out. Residents observed in common areas and in rooms. There was 1 resident on hospice and 2 bedridden at the time of the inspection. Pathways and doors were clear and free from obstruction. Facility was clean and without odor. Common areas were clean, adequately furnished, and adequately lit. Smoke detectors and carbon monoxide detectors were present and operational at time of visit. Fire extinguisher last serviced 1/7/2025. Last fire drill completed on 12/03/24. Water temperature measured 116.3 degrees F. Resident rooms observed to have the required furnishings and with adequate lighting. Linen supplies are kept in linen closets. Sharps, chemicals and medications were located in locked closets/rooms. LPAs observed sufficient seating under covered patio areas. The following issues were observed during todays visit: Front entrance observed with stairs and ramp without hand railing. Front door observed with pin and hole at bottom of door. Let us know sign is not properly sized. Living room couch observed with tears and in need of replacement. R1 observed non-ambulatory with wheelchair across living room. Non-perishable food source observed not to be sufficient for 6 residents in care. Over-the-counter medication observed in refrigerator and in kitchen cabinet unlocked and accessible. Hallway vent air circulation observed dirty and in need of replacement. Back door steps observed without hand railing. Patio fan drooping and in need of replacement. Tools observed in backyard unlocked and accessible. Exit gate on side of facility observed locked/stuck closed in need of repair. Backyard fence observed leaning and with broken boards in need of repair. Dog feces observed on walkway and in yard in need of cleaning. LPAs requested the following documents to be submitted to CCL by 1/31/25: current copy of Administrator’s Certificate, Administrator Organization (LIC 309), Designation of Administrative Responsibility (LIC 308), Emergency Disaster Plan (LIC 610-D), Personnel Report (LIC 500), Register of Facility Clients/Residents (LIC 9020) in order to update the facility file. Exit interview completed with Licensee, Jasmin. A copy of this report, deficiencies and TV's provided.