Routine inspection·September 13, 2024

On 09/13/2024 at around 8:20 AM, Licensing Program Analyst (LPA) Leandro conducted an unannounced Required – 1 Year Inspection to the above-named facility and met with the Administrator Joseph Sol. LPA explained the purpose of the visit and was accompanied by a staff member inside and outside the facility during this inspection. This facility is licensed to serve 6 adults ages 60 and above, of which 5 maybe non-ambulatory, 1 maybe be bedridden, and 4 maybe on hospice. A total of 6 residents are currently residing in this facility. The facility is a one-story house located on a main street. The home consists of 4 resident bedrooms, 2 bathrooms, 1 family room, 1 dining room, 1 kitchen, 1 attached garage, 1 laundry room and 1 backyard patio area with shaded seating. Outside grounds were toured and no bodies of water were observed. The patio furniture is under a shaded area and accessible to residents. There are no security bars or weapons on the premises. LPA toured the kitchen area and observed supplies of nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days. LPA observed that medications were safe, locked, and inaccessible. Documents are posted as mandated. Last drill was conducted on 9/1/2024. First aid kit is fully stocked with manual. Smoke and carbon monoxide detectors were in compliance and operational. There are two fire extinguishers on the premises and they were last serviced on 08/7/2023. 4 out of 4 residents’ bedrooms were checked. Mattresses were in good condition, adequate lighting, plenty of dresser and closet space observed. Walls and floors were clean and in good condition. Comforters, bed linen, bath towels and mattress protectors were adequately stocked. Bathroom toilets and water faucets worked properly, grab bars were secure, and a non-skid mat was in place. Adequate lighting and toiletries accessible to residents. LPA tested hot water temperature and it measured between 105 and 120 degrees Fahrenheit. This facility provides residents with hygiene products such as feminine napkins, nonmedicated soap, toilet paper, toothbrush, toothpaste, and comb. 5 staff records were reviewed, 5 out of 5 staff records had required documentation. 5 resident records were reviewed and, 1 out of 5 resident records were missing tuberculosis (TB) test results. Deficiencies are being cited based on LPA observation, interviews conducted and record review in accordance with the California Code of Regulations, Title 22. Violations regarding facility being in disrepair, scissors being available to residents in care, no videoconferencing device dedicated for client use, mistakes on the Medication Administration Record (MAR) for residents in care, and not having a TB test result for a resident in care. An exit interview was conducted, Plans of Corrections were reviewed and developed. A copy of this report and appeal rights were discussed and left with the Administrator.