Routine inspection·June 10, 2023

On 6/10/2023, Licensing Program Analyst (LPA) Alfonso Iniguez conducted an unannounced annual required using the CARE Inspection Tool. LPA met with Johnny Sarkisyan/Administrator. LPA explained the purpose of today’s visit. The facility is licensed to serve (6) non-ambulatory elderly adults ages 60 and above and approved hospice waiver for (3). The facility is approved for dementia. There are six (6) level 4 developmentally disabled clients over the age of 60. The facility is serviced by Lanterman Regional Center. The facility is a single-story home located in a residential neighborhood that is licensed for 6 non-ambulatory clients. A hospice waiver for 3 residents is in place. It consists of 6 bedrooms, 2 bathrooms, living room/dining area, kitchen with laundry area, outdoor covered patio, and detached garage. The last fire drill was conducted on 5/3/2023. LPA Iniguez toured the physical plant with administrator. There were no bodies of water or obstructions on the premises. A total of (3) rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the resident’s personal belongings was observed. Bathrooms were found to be within Title 22 regulations and were operational. Cleaning solution found unlocked in bathroom#1 LPA inspected rooms: #1, #2, and #3 and smoke and carbon monoxide combo are all operable conditions. The water temperature ranged from 102.5F° – 114.2F°. The room temperature ranged from 76F° – 78F°. Evaluation Report continues on LIC 809-C LPA Iniguez observed the facility to be sanitary and appropriately furnished at the time of the visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored 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. Working landline phones are available on-site. A review of (3) residents' service files (R1-R3) and (3) staff personnel files (S1-S3) and Medication Administration Records (MAR) were maintained in order. First AID kit was checked. LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas and restrooms. Deficiencies cited under California Code of Regulations, Title 22, Division 6, Chapter 8. Exit interview conducted with Johnny Sarkisyan/Administrator and a copy of the appeal rights were given at the time of the visit.