Routine inspection·July 2, 2025

On 07/02/2025 Licensing Program Analyst (LPA) Melissa Spaeth conducted an unannounced required annual visit. LPA Melissa Spaeth was greeted by the live in caregivers. The caregivers called the Licensee, Nicole De Las Alas and informed her LPA was present at the facility. The facility is licensed to serve six (6) non-ambulatory residents of which one (1) may be bedridden. There is a hospice waiver for three residents. LPA and the caregivers toured the facility at 9:40 am until 10:20 am. Kitchen - LPA observed a two-day supply of perishable foods and a seven-day supply of non-perishable food items. LPA observed a kitchen drawer was unlocked and contained a resident's medication. At 10:10 am, LPA instructed the caregiver to remove the medication. LPA observed the caregiver locked the medications in the medication cabinet. LPA observed the cleaning supplies were locked underneath the kitchen sink. The knives were locked in a drawer. Resident Bedrooms – The bedrooms contained a bed, linens, night stand, night lamp, chest of drawers and closet. Staff Room – At 9:55 am, LPA observed the staff’s bedroom was not locked and a staff member's medication was sitting out and not locked in a secure location. Continued on 809_C Bathrooms – The two bathrooms contained hand soap, paper towels, trash can, a slip resistant mat, and grab bars. Water Temperature - LPA Spaeth tested the water temperature at 10:50 am and the water temperature was 123 degrees F. The caregiver adjusted the water temperature. LPA again tested the water temperature at 11:13 am and the temperature was 118 degrees F. Hallway Closet – The closet contained clean linen and PPE supplies. Garage – The garage was locked and contained the washer, dryer, laundry detergent and an additional deep freeze filled with frozen meats and vegetables. Smoke/Carbon Monoxide Detector - The detectors were tested at 11:10 am and were functional. LPA reviewed the residents’ files at 11:30 until 11:50 am. LPA observed the Admissions Agreement and Appraisal & Needs Service Plan were missing from R1's file. LPA reviewed the staff files at 11:50 am until 12:15 pm. The staff files were missing the health screening documentation. Pursuant to Title 22 Division 6 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D). Exit interview conducted, Appeal Rights discussed, and a copy of the signed report was given to the caregiver.