Routine inspection·September 18, 2024

On 09/18/2024 at 09:47am, Licensing Program Analyst (LPA) Zina Brown conducted an unannounced visit to the above facility. The purpose of today’s visit was to conduct the one- year inspection. LPA met with Charesa Reyes , Administrator and the purpose of the visit was discussed. Facility is licensed to serve 6 non- ambulatory residents an approved hospice waiver for 1 resident. Three (3) of the residents are diagnosed with dementia, three (3) hospice resident, and (1) home health (1). The facility does not handle any of the residents’ money. The home is a two story home consisting of: (3) shared resident bedrooms, (2) shared bathroom, with a upstairs one (1) bathroom, and one (1) staff bedroom, a living room, kitchen with dining area, laundry room, an outdoor shaded patio area and a detached garage with an additional refrigerator. At 10:00am LPA Zina Brown toured the inside and outside of the facility. All client room were checked. Resident bedrooms had the required furniture had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place, water temperature measured at 118.3F (bathroom #1), 118.5 F(bathroom #2) and 114.4 F (kitchen). Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards; doorways were free of obstructions. Kitchen was checked and observed to be within Title 22 regulations. Perishable and non-perishable food supply was checked. All cleaning solutions, hazardous items, and medications were securely locked and inaccessible to residents, fire extinguisher was fully charged. Carbon monoxide and smoke detector was operational. First Aid kit was available. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises. Report continues on LIC 809-C On 09/18/2024 LPA conducted residence record review of 6 six residence. 3 out 6 residence physican report states the residence are bedridden. Based on LPA observation during inspection and additional records review, residence are listed as non-ambulatory. On 09/18/2024, the administrator informed the LPA that the facility does not have liability insurance. Deficiencies cited under California Code of Regulations (Title 22, Division 6, Chapter 8); LPA observed the following deficiencies . Due to time constraints, LPA was unable to complete the inspection, LPA will return at a later date. Additional citations maybe issued. An exit interview was conducted, and a copy of Report and Appeal Rights provided.