Routine inspection·February 21, 2025

Licensing Program Analyst (LPA) Cynthia Chan conducted the unannounced annual inspection on 2/21/25. LPA met with Staff, Victoria Tayag, and explained the reason for the visit. The house manager, Dalisay Lazo, arrived shortly to assist with the visit. The facility is licensed to serve six (6) non-ambulatory developmentally disabled individuals, ages 60 and over. There is an approved hospice waiver for 1 resident. The facility is vendorized by the Harbor Regional Center and there are currently 3 residents residing at the facility. LPA inspected the facility using the Compliance and Regulatory Enforcement (CARE) tools. The facility consists of 4 resident bedrooms, 1 staff office, 2 bathrooms, living room, family room, kitchen, and attached garage. There are no swimming pool or bodies of water on premises. Facility has the infection control plan and staff are continuing to clean and disinfect daily. Knives and cleaning products are locked. Sufficient food supplies of perishable and non-perishable are observed. There are operable smoke detectors and a carbon monoxide detector at the facility. The hot water temperature was measured within the required range of 105-120 degrees F. Medications are centrally stored and locked inside a cabinet. Staff and Residents files are stored and maintained at the facility. LPA reviewed 3 resident medications and they are being administered as prescribed. LPA reviewed resident and staff files to ensure all required forms are in their files. The staff and resident files contain all the required forms. The administrator's (Maria Santos) certificate expires on 4/27/25. Staff have current CPR and First Aid certificates. Staff are receiving on-going training. The facility accepts and retains residents with dementia and/or hospice. Emergency Disaster Plan is easily accessible and disaster drills are conducted monthly. No deficiencies are issued today. An exit interview was held and a copy of this report was given to staff Lazo.