Routine inspection·February 11, 2024

Licensing Program Analysts (LPAs) Emily Peraldi and Sandra Urena arrived at the facility unannounced to conduct a required annual visit. At 9:55 a.m., the LPAs met with staff and explained the reason for the visit. During the time of the visit, Administrators, Anna Bernice D Lee, Claudette Marasigan, Eleanor Jimenez arrived at the facility. At 10:13 a.m., LPA Peraldi, along with the Administrator, toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that the facility is in compliance with Title 22 Regulations. The facility is a single-story residential home with seven (7) bedrooms, six (6) for resident use and one (1) for staff use and four (4) bathrooms. The property has a detached garage and remains inaccessible to residents. BEDROOMS: The LPA observed resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Inside temperature was maintained at a comfortable level. RESTROOMS: Restrooms are relatively clean and sanitary and in operating condition with grab bars and non-skid mats. Starting at 10:19 a.m., the hot water temperature was measured in all bathrooms and were found in compliance between 105.4 and 108.6-degrees Fahrenheit. The sinks had sufficient liquid soap, and paper towels. Signs are posted throughout the facility restrooms to promote handwashing. KITCHEN: The LPAs observed the kitchen and dining area. Knives are stored and inaccessible at the time of the visit. Kitchen appliances are in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Food labels were observed for expiration dates. At 10:16 a.m., hot water measured at 106.6-degree Fahrenheit. A first aid kit is located near the kitchen. Continued on LIC-809-C. OUTDOOR SPACE: At 10:38 a.m., the LPA observed the back patio which has a covered outdoor area for resident use. There are gates on the each side of the house designated for an emergency exits. There are no bodies of water on the premises. COMMON AREAS: The LPAs observed common areas to be relatively clean and properly furnished. The LPAs observed the fire extinguisher to be fully charged and last serviced on 10/12/2023. At 10:34 a.m., fire alarms/carbon monoxide detectors were tested and functioned properly. All exits have functioning auditory devices and were operational at the time of the visit. Facility telephone was observed during the time of the visit. Cleaning solutions, chemicals and hazardous items were inaccessible and locked away inside a closet near the front entrance. Medications are located in a locked closet near the dining area. Starting at 10:39 a.m., LPA Peraldi conducted interviews with one (1) out of five (5) residents and one (1) staff. RECORD REVIEWS: Between 10:11 a.m. and 11:25 a.m., the LPAs conducted a file review for all residents and staff regularly scheduled and observed the following: Staff have current first aid and training documentation showing required training completed. Resident records were reviewed for, but not limited to care plans, medical records, admissions agreement, consent forms. All files were in order. Starting at 11:20 a.m., LPA Peraldi conducted a review of medication and medication documentation with Administrator for four (4) residents and observed that all medications were properly documented. Exit interview conducted. No deficiencies observed at this time. A copy of the report was issued.