Routine inspection·April 29, 2024

On 4/29/2024, Licensing Program Analyst (LPA) Alfonso Iniguez conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Minda Olila/Staff. LPA explained the purpose of today’s visit. The facility is licensed to serve (6) residents ages 60 and above. Of which (4) may be non-ambulatory and (2) bedridden. Approved hospice waiver for (1). Currently the facility has (5) clients in care. The facility is a single-story structure located in a residential neighborhood. It has a ramp on the back door. It consists of (7) bedrooms, (2) full bathrooms, shaded back yard, front yard, laundry in the attached 2 car garage. LPA toured the physical plant with staff. There were no bodies of water or obstructions on the premises. A total of (5) rooms and (2) bathrooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the residents’ personal belongings was observed. Bathrooms were observed and were operational. LPA inspected the carbon monoxide detectors combo were in operable conditions. The water temperature properly measured between 105F°. and 120F°. Evaluation Report Continues LIC 809-C LPA Iniguez observed the facility to be clean, sanitary, and appropriately furnished at the time of the visit. Storage areas for personal hygiene were observed. Sharps objects were locked and not accessible to residents. The kitchen was inspected and there is sufficient perishable and non-perishable food available maintained properly. All fire extinguishers were charged and were operable. A review of (3) residents' service files, (3) staff personnel files were checked. (3) Medication Administration Records (MAR) were reviewed. Discrepancies on documentation were found. Last facility disaster drill performed on: 3/1/24. LPA observed the facility's infection control practices. Copy of liability insurance was provided to LPA during this visit. Facility Annual Fess not current. LPA told facility staff that the license fees are not current since 4/25/24. LPA spoke with Tammy, and she said fees were paid on 4/17/24. Deficiencies cited under California Code of Regulations, Title 22, Division 6, Chapter 8. See details below: -Cleaning agents found unlocked inside cabinet of second bathroom. -Facility staff did not documented medication given for R#1 and R#2 on the days: 4/24, 4/25, 4/26, 4/27, and 4/28. An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to Minda Olila/Staff.