Routine inspection·June 30, 2025

Licensing Program Analyst (LPA) Erik Zaragoza conducted an unannounced Required 1-year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA met with Joanna De Castro, Administrator for the facility, and explained the purpose of the visit. There are nine (9) residents residing within the home. The following 12 (CARE) tool domains were observed and reviewed: Infection Control, Physical Plant/Environment Safety, Operational Requirements, Staffing, Personnel Records/Staff Training, Resident Rights/Information, Resident Records/Incident Reports, Food Service, Planned Activities, Incident Medical and Dental, Disaster Preparedness, and Residents with Special Health Needs. Infection Control: · Infection control plan is on file. Physical Plant/Environment Safety: · The facility is a single-story home located in a residential neighborhood. It is licensed for a capacity of ten (10) residents over the age of sixty (60), all ten (10) of whom may be non-ambulatory, three (3) may be receiving hospice services. The facility consists of a kitchen, a dining room, a living room, ten (10) resident bedrooms, nine (nine) resident bathrooms, most of which measured between 105 – 120 degrees Fahrenheit, however bedrooms #2 and #3 had hot water temperature readings of 124 Degrees Fahrenheit and 127 Degrees Fahrenheit, administrator adjusted the hot water temperature and they both measured 114 Degrees Fahrenheit afterwards. Facility was observed to be in good repair. · The interior and exterior physical plant was inspected. Exit doors are free of any obstruction. The facility has multiple fully charged fire extinguishers kept in the facility. Operational Requirements: · The Program Design was reviewed. · Fire clearance was approved by LA County Fire Department for a capacity of ten (10) residents over the age of sixty (60), all of whom may be non-ambulatory, and a hospice waiver for three (3) residents. · There is one (1) resident identified as bedridden according to their physician’s report, which exceeds their approved fire clearance. Administrator’s fire inspection was denied and has attempted to contact the city’s buildings and planning department to obtain an occupancy code to provide the fire department, however the administrator has not yet been able to obtain this yet. Last contact with the city was on 1/27/2025. · Care and supervision to meet the clients’ needs was observed. Staffing: · Four (4) full-time staff members provide care and supervision to the clients. Personnel Records/Staff Training: · Four (4) staff files were reviewed for criminal background clearance and training. · All Four (4) staff records reviewed have a health screening with a Tuberculosis clearance. · One (1) staff still requires to obtain their first aid/CPR training. · The administrator’s certificate expires on 3/21/2027. Resident Rights/Information: · Physician orders were reviewed for six (6) resident files. · Medications were also reviewed for six (6) residents. Resident Records/Incident Reports: · Nine (9) resident files were reviewed containing admission agreements, Physician's Report, medical/functional assessments, Needs and Services Plans, TB clearance, Appraisal/Needs and Services Plan, personal rights, medical consent, and medication records were reviewed. · Two (2) residents did not have a pre admission appraisal conducted before being admitted into the facility. Administrator completed the appraisals during the annual inspection. Food Service: · The kitchen was inspected and has sufficient supply of 2-day perishable & 7-day non-perishable food. Kitchen, food preparation area, and storage areas were observed to be clean and sanitary. Incident Medical and Dental: · All residents have an Appraisal/Needs and Services Plan on file. · Staff training was on file. Disaster Preparedness: · Emergency and Disaster Plan (LIC610E) was posted in the facility. · The last emergency and disaster drill was conducted on 6/30/2025. Planned Activities: · Sufficient Space is provided to accommodate both indoor and outdoor activities. · Sufficient equipment and supplies are provided to meet the requirements of the activity program. Residents with Special Health Care Needs · There is an adequate number of staff to support each resident’s physical, social, emotional, safety and health care needs as identified in his/her appraisal. Per California Code of Regulations, Title 22, and California Health and Safety Code, the deficiencies observed during the visit is documented on the LIC809D pages. Exit interview held and a copy of the report along with appeal rights will be provided by email.