Routine inspection·July 16, 2024

Licensing Program Analysts (LPAs) Daniel Konishi and Christine Wong, conducted a required unannounced annual inspection using the Inspection Tool. LPA met with Staff#1 (S1), Eadgitha Manalad and the purpose of the visit was discussed. S1 assisted in the tour of the facility. The following (CARE) tool domains were observed and reviewed: Infection Control, Physical Plant/Environment Safety, Operational Requirements, Resident Rights/Information, and Food Service. Infection Control: · Infection control practices and Personal Protective Equipment (PPEs) were observed. LPA observed that the facility has no infection control plan in place. Physical Plant/Environment Safety: · LPA conducted a tour of the facility with S1, staff and observed the following: The facility is part of a single-story home located in a residential area and contains the following: living room, TV room, dining room, kitchen with refrigerator, oven, stove, dishwasher, sink/faucet, (4) resident rooms, (2) bathroom for residents, toilet and washbasin. A back yard with shaded area and seating for resident use. There’s a laundry area; with washer and dryer. · All passageways, walkways, driveway, steps and patio are free from obstructions. The front, back and side areas of the house are free of hazards. · Hallway linen closet: Contained plenty of linens, towels, and hygiene products. · Beds have the required furniture including bedframes, night stands, dressers, lamps, and chairs. Beds have the required linen and the linen is in good condition. · Fire extinguisher was observed on hallway last reviewed 04/10/2024. · Carbon monoxide detectors are tested and in working condition. · Cleaning supplies are kept locked under kitchen sink away from food supplies. · Sharps are kept locked in a kitchen drawer. · Shared client bathrooms were observed to be clean and contained soap and paper towels. Signs promoting hand washing were observed. Water temperature in this bathroom#1 was measured at 108.1 degrees F and Bathroom #2 was measured at 107.9 degrees F which is in the required 105 – 120 degrees F per Title 22 Regulations. Operational Requirements: · Fire clearance was approved by LA County Fire Department for six (6) residents, four (4) of which can be non-ambulatory. · Liability Insurance is confirmed and currently on file. Resident Rights/Information: · Residential Care Facility for the Elderly Complaint Poster (PUB 475) posted on the wall. · Residents’ Personal Rights posted on the wall. · Facility provides internet access for residents. Food Service: · The kitchen was inspected and has sufficient supply of 2-day perishable & 7-day non-perishable food. Kitchen, food preparation area, and storage areas were observed to be clean and sanitary. Due to time constraints, LPA will return at a later date to complete 7 more CARE Tool domains. Exit interview conducted with Staff, Eadgitha Manalad and a copy of this report was provided.