Routine inspection·April 27, 2024

On 4/27/2024, Licensing Program Analyst (LPA) Alfonso Iniguez conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Jorge Adle Mendoza/Administrator. LPA explained the purpose of today’s visit. The facility is licensed to serve (6) residents ages 60 and above. Of which (6) may be non-ambulatory. Bedroom #4. Approved hospice waiver for (2). Currently the facility has no clients in care. The facility is a 1 story structure with 4 bedrooms, 2 bathrooms, kitchen, dining area, family room, and living room/office area. LPA toured the physical plant with administrator. There were no bodies of water or obstructions on the premises. A total of (4) rooms 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 found to be within Title 22 regulations 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, cleaning agents, poisons, and 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 (0) residents' service files, (1) staff personnel files were checked. (0) Medication Administration Records (MAR) were reviewed. 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 administrator that the license fees are not current since 3/8/24. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA did not observe deficiencies therefore no citations were issued at this time. An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to Jorge Adle Mendoza/Administrator.