Routine inspection·February 11, 2023

Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced annual inspection focusing on the Infection Control Domain. LPA Pena was greeted by Ralph Ruelas, Direct Support Professional I (DSP I) and discussed the purpose of today's visit. The facility is cleared for six (6) ambulatory, prefers to serve elderly clients with developmental disabilities. There are currently 6 residents in placement. The facility does not have an approved Hospice Waiver. The facility does not have an approved Dementia Care plan in its plan of operation and does not accept residents with dementia. The facility is vendorized by the Frank D. Lanterman Regional Center and Northern California Regional Center.The Administrator, Staci D. Mitchell arrived at 10:35am and assisted with the inspection. This single-story home contains four (4) bedrooms including office/staff room, three (3) bathrooms, living room, kitchen, dining room and backyard. The following was observed/inspected: The facility had a universal entrance screening area including a sign-in sheet, thermometer, and hand sanitizer. Staff/DSP did not conduct covid screening to the LPA upon arrival and has to be prompted. COVID-19 signage was placed in several areas including entrance and common areas. Facility does not have a 30-day supply of PPEs, supplies are insufficient. Staff was not wearing face masks during their shift. Kitchen was inspected. There was a sufficient supply of 2-day perishable foods and 7-day non-perishable foods. Cleaning solutions and kitchen knives/sharps were not locked and accessible to the residents. Hot water temperature was measured and were within the required 105-120 degrees F., kitchen hot water temperature read 113.9 deg F, bathroom #1 read 115.8 def F and bathroom #2 read 113.4 deg F. All resident rooms contained required furniture including bed, dresser, night stand, lamp and chair. Medications were locked and centrally stored in the upper cabinet in the kitchen area. Residents' medications were reviewed to confirm medication is given as prescribed and is documented properly. Smoke detectors/carbon monoxide detectors were present and operable. There are cameras in the living room, kitchen, front/backyard, and around the outside of the home. There were no cameras seen in private areas. Indoor passageways were free from obstruction. But outdoor passageways contain debris and unused items. Two (2) fire extinguishers were observed to be charged and last serviced on 2/18/2022 and 5/18/2022. Administrator was advised to get those inspected soon. Residents and Staff files were not reviewed during this visit. Administrator certificate for Staci D. Mitchell expires on 1/20/2024 and DeWalt Brown expires on 10/15/2024.. Pursuant to Title 22, deficiencies were cited on the attached 809D. An exit interview was conducted and a copy of this report and appeal rights were provided to the Administrator, Staci D. Mitchell.