Routine inspection·November 14, 2024

Licensing Program Analyst (LPA) Sparkle Day conducted an unannounced visit to the above facility. The purpose of today’s visit was to conduct the one-year inspection. LPA met with Ivan Bravo, Administrator, Administrator and the purpose of the visit was discussed. Facility is licensed to serve 6 non- ambulatory residents residents. Currently there is 2 residents in placement here. There is a dementia waiver on file. (1) resident is diagnosed with dementia. No residents are receiving home health or hospice care services. The facility does not handle any of the residents’ money. This home is a single story home consisting of: (4) resident bedrooms, (2) resident bathrooms, 1staff bedroom, 1 staff bathroom, living room, kitchen with dining area, detached garage where the laundry room is located and an outdoor shaded patio area. LPA and Administrator Ivan Bravo toured the facility. All resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place, water temperature measured between 111.F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards; doorways were free of obstructions. Kitchen was checked and observed to be within Title 22 regulations. Perishable and non-perishable food supply was checked. All cleaning solutions, hazardous items, and medications were securely locked and inaccessible to residents. Smoke detectors were working properly and fire extinguisher was fully charged. Carbon monoxide detector was operational. First Aid kit was available. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises. During todays visit LPA observed the following deficiencies: continue on 809C Deficiencies cited under California Code of Regulations (Title 22, Division 6, Chapter 8), LPA observed the following deficiencies: On 11/14/24 LPA reviewed Staff #1, Staff #2 and Staff #3 files. LPA observed that Staff #1 - Staff #3 did not have a current First Aide certificate on file - On 11/14/24 LPA reviewed Facility files and observed and was confirmed by Administrator Ivan Bravo that fire drills are only conducted once and year. An exit interview was conducted, Plans of Corrections were reviewed and developed with the Administrator . A copy of this report and appeal rights were discussed and left wit Administrator, Ivan Bravo.