Routine inspection·November 15, 2022

Licensing Program Analyst (LPA) Ashley Calderon conducted an unannounced Required – 1 Year Inspection and met with caregiver Jeanette Ordonez to discuss purpose of today's visit. During the inspection LPA Calderon observed 4 clients present and 2 staff were present in the facility during this inspection. LPA Calderon and Felicidad Angeles toured the physical plant. The home consists of 4 resident bedrooms, 1 staff bedroom, 2 bathrooms, kitchen, dining room and living room and backyard. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. Common areas were clean and clear of hazards, doorways were free of obstructions. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably, clean and sanitary conditions. There are no security bars or weapons on the premises. 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. Bathroom #1 hot water temperature measured at 116.7 F and bathroom #2 measured at 116.3 F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Chemicals were found in both restrooms accessible to clients, deficiency was cited. See 809D LPA toured the kitchen area and observed more than two-day supply of perishable and more than seven-day supply of non-perishable food. Knives were kept in locked storage cabinet. Kitchen water measured at: 115 F. At 10:45 PM LPA Calderon met with Peter Ventura tested carbon monoxide detector and smoke detector located in the living room area. Both devices were functional. LPA Calderon observed two employee files and four resident medication and Medication Log. Medication was observed locked. Medication Record and prescribed medication error was found, deficiency cited. See 809D. Continuation 809C.. LPA Calderon observed Covid-19 symptom screening log and PPE readily available at the entrance of the home. Home has PPE for 30 plus days and Infection Control Tool was completed. An exit interview was conducted and copy of this report 809, 809C , 809D and appeal rights were provided and given to Administrator Peter Ventura.