Routine inspection·October 7, 2024

Licensing Program Analyst (LPA), Christine Yee, conducted an unannounced required Annual Inspection using the complete CARE Inspection Tool and was let into the home by Maria Gregorio, Staff. Staff contacted Eleanor Posner, Administrator, via telephone to advise of LPA Yee's visit but she was not able to participate in today's visit due to family obligations until 5:30pm. Lee Posner, Co-Licensee arrived at 11:27am and Marte Galang arrived approximately at 12:30pm to conduct the visit. The reason for today's visit was provided. The facility is a single storey family home consisting of a living room, dining room, kitchen, 3 bedrooms and 2 full bathrooms and a detached garage. Located in the back yard is a unfilled swimming pool currently secured by a wire fence. The facility is fire cleared for 6 NON-AMBULATORY residents. The following domains were reviewed on today's visit: Staffing, Resident's Rights/Information and Planned Activities. Also reviewed on today's visit were 9 staff files and 5 resident files. Per review of staff files the following were observed: Licensee, Lee Posner does not have evidence of current first aid training Staff, Michael Terok and Grace Rumiwang do not have a Health Screening (LIC503) on file Staff, Maria Halili Gregorio does not have a signed Criminal Record Statement on file Eleanor Posner and Marte Galang, Administrators do not have evidence of a current Administrator Certificate. The facility does not have physicians orders on file for every medication that is centrally stored. The facility does not have PRN Authorization letters on file for the residents PRN medications. Per the Administrator, Marte Galang, Staff do not contact the prescribing physician for instructions prior to administering the PRN medications and are making the decisions to dispense the medications themselves. The facility does not main an inventory of residents valuables except for Resident #2 Resident #2 has an incomplete Physician's Report - no primary or secondary diagnosis is provided. Admission Agreement for Residents #2 through Resident #5 do not state the rate for basic services. It just states "Tier 2" or "Tier 3" ALW Rate and Payment Provisions states: will be paid by ALW Program for basic service rate, cost for optional services, Payment is due: we will bill to ALW program every month. Admission Agreement does not provide information about the Right to Resident Council or Family Council. The Right to Resident Council or The Right to Family Council are not posted in the facility. The Additional Personal Rights of Residents in Privately Operated Facilities is not posted. The facility has internet access and no internet access device, such as a computer, laptop, Smart phone, tablet or other device that can support real time interactive application, is equipped with video conferencing technology, including a microphone and camera functions is dedicated for resident use. the facility does not have a plan in place to permit residents shared access among all resident in the facility during reasonable hours. Deficiencies cited under California Code of Regulations, Title 22, Division 6, Chapter 8 and Health and Safety Code, Chapter 3.2. Due to time constraints, any citations not addressed on today's visit, will be addressed on a return visit. Exit interview was conducted and a copy of the report was provided.