Routine inspection·June 13, 2024

On 6/13/2024, Licensing Program Analyst (LPA) Alfonso Iniguez conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Teresa Guanlao /Licensee. LPA explained the purpose of today’s visit. The facility is licensed to serve (6) elderly adults ages 60 and above, of which (6) can be bedridden. The facility has an approved hospice waiver for (2). Fenced pool on premises. The facility is a single-story structure located in a residential neighborhood. It consists of (4) bedrooms, (2-1/2) full bathrooms, shaded back yard, front yard, laundry room and a detached 2 car garage and a pool in the backyard. LPA Iniguez and the facility staff toured the physical plant. There is a gated pool in the backyard that was securely locked, no obstructions on the premises. LPA inspected a total of (4) bedrooms and (2) bathrooms. The beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the residents’ personal belongings was observed. The bathrooms were found to be within Title 22 regulations and were operational. Smoke and carbon monoxide detectors were in operable condition. The room temperature ranged from 76°F to 78°F. The evaluation Report continues on the next page, LIC 809-C , providing further details of the inspection findings. During the visit, LPA Iniguez observed that the facility was clean, sanitary, and appropriately furnished. Storage areas for personal hygiene were in place. Cleaning supplies and toxins were stored in a way that made them inaccessible to residents in care. The kitchen was inspected, and there was sufficient perishable and non-perishable food available, which was adequately maintained. All fire extinguishers were charged and operable. The last Fire/Disaster Drills were conducted on 4/4/24. A review of (3) residents' service files and (2) staff personnel files were maintained in order. LPA reviewed (3) Medication Administration Records (MARs). LPA observed the facility's infection control practices. All mandated inspection control posters were displayed throughout the facility. A copy of liability insurance will be emailed to LPA . Facility Annual Fess current. Deficiency cited under California Code of Regulations, Title 22, Division 6, Chapter 8. See details below: -Water temperature at kitchen sink reach over 120F°(122F°). - Sharp objects not locked properly (Knives found unlocked on kitchen area during facility tour). -Discrepancies found on Medication Administration Records (MAR)s for R#2 and R#3 in the month of May 2024. -Slide latch locks place on one of resident’s rooms and main entrance door. Note: *Citations not cleared by the due date will be a $100 fine assessed for each citation until it is cleared. Civil penalties will continue to accrue until Proof of Corrections (POC) is cleared. * An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to Teresa Guanlao / Licensee.