Routine inspection·December 5, 2023

On 12/05/23 at 8:50 a.m., Licensing Program Analyst (LPA) Jewel Baptiste conducted an unannounced Annual/Required inspection to Cerritos Villa I. Upon arrival LPA was greeted by Direct Support Professional (DSP) Cristina Riego who contacted the RN consultant Alda Farren. This home is licensed to serve elderly residents aged 60 and above. All residents can be non-ambulatory. Facility approved to accept or retain one resident on hospice. Facility is 87724 compliant. There is no staff room. Therefore, facility will provide 24-hour awake staff. No staff room, therefore, facility will provide 24-hour awake staff. There were (3) residents in care during the time of this visit, the other (1) resident were at the day program and (1) resident was hospitalized. The last emergency disaster/fire drill was conducted on 11/18/23. The Administrator Certificate expired on 8/31/2023 #6059713740. The facility was unable to provide proof of a valid Administrator Certificate. LPA Baptiste also reviewed the pending and active administrator certificates online and was not able to find proof of valid Administration certificate. During today's visit LPA inspected the physical plant inside and outside, reviewed the food supply, tested the smoke/carbon monoxide detectors, reviewed (2) staff files, (5) resident files, medications, and medication administration records for (4). This home contains 4 bedrooms, 2 bathrooms, living room, office, kitchen, dining room and an attached garage. LPA toured the physical plant with the RN consultant. and observed all (4) resident bedrooms, contained required furniture, lamps, dresser, chair, and closet space. The two bathrooms contain a working toilet, basin and water faucet, walk in shower with grab bar, shower chair, and bathmat. The temperature measured at 121.8*F-127.2*F respectively which does not meet title 22 guidelines. This poses a potential safety hazard to the clients in care. The smoke detectors were battery operated and individually tested and observed to be working properly. The carbon monoxide detector was located throughout the facility, tested, and functioning properly. There were (2) fire extinguishers located in hallway and dining room fully charged and up to date. The kitchen was toured and contained working appliances; refrigerator, stove, oven and contained dishware, cups, plates, utensils, pots, and pans. The knives were unsecured in kitchen cabinet and backyard. The cleaning agents and toxins was unsecured in the bathroom, kitchen, and backyard. The pantry was well stocked with canned goods, pasta, cereals, and the food supply contained a sufficient supply with a two-day supply of perishables and a seven-day supply of non-perishables that met title 22 guidelines. Walls and floors, cabinets and counters were clean and sanitary throughout the home. LPA reviewed medications and observed some medications was marked as given before time or medications was missing for the wrong time frame. During file review LPA confirmed Staff S1 and S2 was not associated to the facility. (Report continued on LIC809C.) The outdoor grounds were toured and inspected, and the patio was well maintained with a shaded seating area accessible for client use. The garage contained a working washer and dryer, with cabinetry that contained emergency supply kits, bottled water, toiletries, personal care supplies, and toxins and cleaning agents stored locked and inaccessible to the clients. The office contained notifications and postings: California Labor Laws, Emergency Disaster Plan, personal rights, facility license, business license, medical emergency information, let-us-know licensing contact information, consumer grievance, support services, community resources and client hygiene schedule. The following Deficiencies were cited on the LIC809D, and civil penalties was assessed. Exit interview conducted with Alda Farren, RN consultant, a copy of this report was provided, and Appeal rights given.