Routine inspection·August 26, 2024

On 08/26/24 at 1:00 p.m. Licensing Program Analyst (LPA) Evelin Rios conduct an unannounced annual inspection. LPA was greeted by administrator, Emma Apolinario. Upon entry LPA observed required postings, hand sanitizer, and a visitor sign in log. LPA also met with Licensee, Amante Apolinario. LPA explained the purpose of the visit. The facility is a two story home with a fire clearance for five (5) non-ambulatory residents and one (1) bedridden resident for a total capacity of 6 residents. At approximately 1:05 p.m. LPA along with administrator conducted a physical plant tour inside and out and the following was observed: Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of 2-day perishable and 7-day non-perishable food at the facility; properly stored. Knives were stored in a locked drawer in the kitchen. Medication was observed stored in a locked kitchen cabinet. Bedrooms: There are five (5) bedrooms designated for residents' use. One (1) bedroom is currently vacant. Bedroom #1 can be shared. Rooms occupied by residents were properly furnished with appropriate beddings, linens and with sufficient lighting. Bathrooms: There is (1) bathroom designated for residents' use. Bathroom was properly supplied with hand soap, toilet paper, paper towels and had functional fixtures. Hot water temperature read 118 degrees Fahrenheit. Common Areas : These included the living area and dining area. The common areas were clean and properly furnished. (Continued to LIC809-C) The smoke alarms are interconnected. LPA observed a carbon monoxide detector in the hallway leading to the bedrooms. Carbon monoxide detector was functioning properly. Licensee tested smoke detectors at 2:23 p.m. and were observed to be functioning properly. There are two (2) fire extinguishers located by the kitchen and they were observed fully charged. Surrounding Grounds : The outdoor area was free of hazards and has a gazebo with outdoor furniture. LPA observed four (4) sheds used for storage. Laundry room/Garag e : Detergents and cleaning products are kept in the locked laundry room inaccessible to residents. LPA observed a washer. Door leading to the garage was locked. In the garage LPA observed a dryer and cleaning chemicals. Resident Files : LPA conducted a file review of four (4) out of four (4) resident records to insure compliance of licensing forms. Medications : At 3:30 p.m. LPA and the licensee reviewed Centrally Stored Medication and Destruction Records for proper documentation. Facility also keeps Medication Administration Records (MARs). Pursuant to Title 22 Division 6 of the CA Code of Regulations, there were no deficiencies observed during todays visit. Exit Interview Conducted. A copy of this report provided.