Routine inspection·September 19, 2023

On 09/19/2023 at 1:00 PM, Licensing Program Manager (LPM) Ulysses Coronel and Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced Required – Annual Inspection and met with Alice Galang, Administrator. Four (4) residents and two (2) staff were present during this inspection. Facility is licensed for elderly residents ages 60 years and older. Cleared to serve six (6) bedridden residents. Sprinklers installed. Hospice waiver granted for one (1) terminally ill resident. The Annual Licensing Fees are current. The home consists of 1 floor level with: four (4) resident bedrooms, one (1) staff bedroom, three (3) bathrooms, kitchen, living room/TV room, dining room, shaded patio and a garage. The house manager accompanied LPM and LPA inside and outside the facility during this inspection. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. 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, hot water temperature properly measured at 112F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards, doorways were free of obstructions. LPA toured the kitchen area and observed a two-day supply of perishable and a seven-day supply of non-perishable food. Knives and toxics were kept in locked storage cabinet. First Aid kit was available. One fire extinguisher, last serviced September 26, 2022 was observed. LPA tested carbon monoxide detectors and smoke detector. Both devices were functional. 4 staff and 4 resident records were reviewed. 2 staff and 3 client interviews were conducted. Deficiencies are being cited based on LPA observation, interviews conducted and record review in accordance with the California Code of Regulations, Title 22, see LIC809D. An exit interview was conducted, Plans of Corrections were reviewed and developed with the Licensee. A copy of this report and appeal rights were discussed and left with Licensee .