Routine inspection·January 4, 2024

Licensing Program Analyst (LPA) Elvira Gonzalez conducted an unannounced annual required visit to the above facility. LPA met with License Vocational Nurse (LVN) Arman Ahangarzadeh and the purpose of the visit was discussed. LPA was granted access to the facility. Executive Director Brian Rosales joined LPA to conduct the visit shortly after. Facility is licensed to serve six (6) non-ambulatory residents aged 60 and over. This facility has an approved hospice waiver for one (1) resident. The facility currently has six (6) residents. The facility is a single-story structure located in a residential neighborhood. It consists of six (6) bedrooms, six (6) bathrooms, a living room, kitchen, dining room, laundry area, an outdoor shaded patio area, and a detached garage. LPA and Mr. Rosales toured the inside and outside grounds of the facility. 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. The water temperature measured between 105.0 F and 120.0 F in all bathrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards; doorways were free of obstructions. Comfortable temperature was maintained in the facility. The kitchen was checked and observed to be within Title 22 regulations. Sufficient perishable and non-perishable food supply was maintained adequately. All sharps, toxins, cleaning solutions, hazardous items, and medications were securely locked and inaccessible to residents. A review of Medication Administration Records was maintained in order and accurate. The facility has a landline telephone on-site in working condition. Medications were centrally stored and properly locked. Smoke detectors and carbon monoxide detectors were operational and working properly. Fire extinguisher was fully charged. Continued on LIC 809-C A stocked First Aid kit along with manual was available. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents. There are sanitizing stations in common areas and restrooms. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. The facility has an approved CCLD Mitigation Plan. During this inspection LPA did not observe any deficiencies, therefore no citations were issued at this time. An exit interview was conducted, and a copy of Report and Appeal Rights was provided to Executive Director Brian Rosales.