Routine inspection·February 13, 2023

Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced annual inspection focusing on the Infection Control Domain. LPA was allowed entry into this home by Yanette Abzun, Caregiver and discussed the purpose of today's visit. Shortly after, the Administrators Stacy Lopez-Santa Ana and Linda Morales arrived and assisted with the inspection. The facility is licensed to serve six (6) bedridden residents ages 60 and over. LPA observed the facility plant, COVID-19 procedures, reviewed residents' medications, observed food supply, and PPE supplies. This single story home contains three (3) bedrooms, two (2) bathrooms, office, a living room, kitchen, dining area, backyard, and detached garage. The following was observed/inspected: The facility had a universal entrance screening area including a thermometer, PPE supplies, screening logs, and sign-in sheet. LPA observed that Staff was wearing a face covering/mask Staff screened and took the temperature of LPA upon arrival. Covid-19 signage are posted at the facility. Facility maintained a 30-day supply of PPE located in the supply closet in the office. The kitchen was inspected. There was a sufficient supply of 2-day perishables and 7-day supply of non-perishable foods. All the appliances are clean and working properly. The laundry room is located outside the home and is clean and has all cleaning supplies locked in a cabinet and inaccessible to residents. Cleaning solutions and sharps were locked in a cabinet in the kitchen area and inaccessible to residents. Water temperature was measured in kitchen and bathrooms. Hot water in the kitchen read 106.3 deg F, Bathroom #1 read 105.2 deg F and all areas measured within the required 105 - 120 degrees. Residents bedrooms were toured. Each bedroom has a smoke detector, bed, linen, dresser, night stand, light, chair and sufficient closet space. Bathrooms have the required grabs bars and contained hygiene supplies including liquid soap, paper towels and toilet paper. Medications were locked, centrally stored, and given as prescribed. Residents' medications were reviewed to confirm medication is given as prescribed and is documented properly. The common areas such as living room and dining room are clean and have the required fu rniture. The backyard has a shaded and sitting area. LPA observed large, unused items sitting in the backyard which blocks the access to the side yard. A fire extinguisher was observed to be fully charged and last serviced on 3/10/2022. There were no cameras and bodies of water on the premises. Smoke detectors/carbon monoxide detectors and auditory devices on exit points were present and operable. Staff and clients files were not reviewed during the visit. Administrator, Chris Gutierrez's certificate expires on 8/15/2024. Co-Administrator Linda Morales's certificate expired on 1/03/2023 and had sent the renewal on 1/31/2023. Renewal certificate has not been received as of yet. Proof of submission was provided to LPA during the visit. Pursuant to Title 22, deficiency was cited on the attached 809-D. An exit interview was conducted, and a copy of this report and appeal rights were provided to the Administrator, Linda Morales.