Routine inspection·November 11, 2023

On 11/11/2023 at 9:03 am Licensing Program Analyst (LPA) David España conducted an unannounced Required-1-year annual visit. Upon arrival at the facility, LPA España conducted a risk assessment at the front door. Based on the assessment, the facility is clear of Covid-19 infection (No COVID-19 cases). LPA verified that the facility has an approved mitigation plan report. LPA was granted access and allowed to enter the facility to conduct the inspection. LPA was met by Sarah Maria Reyes, caregiver and the purpose of today’s visit was explained. During the visit, LPA observed the facility infection control practices. There are currently three (3) residents in the facility. There are three (3) residents are non-ambulatory, and (2) bedridden. The facility is a single-story structure located in a residential neighborhood. The Residential Care Facilities for the Elderly (RCFE) is licensed to serve (6) bedridden clients age 60 and above, may retain (1) hospice client at any given time. The facility consists of five (5) bedrooms, two (2) full bathrooms, shaded back yard, front yard, pool with gate, laundry room and a detached two (2) car garage. LPA and Sarah Maria Reyes toured the entire facility inside and out. Documents are posted as mandated. Bedrooms 1, 2 and 3 are occupied by residents and contain the mandated furniture. Bedroom 7 is a staff bedroom. The three and half (3 1/2) bathrooms have grab bars and non-skid mats and are clean and operational. First aid kit is fully stocked with manual; smoke detectors and carbon monoxide detectors were in compliance and operational. No firearms are stored at facility and body of water present (pool with gate.) Medications are stored, locked and inaccessible to residents. Resident files along with medications are current. Staff files are current. Ample supply of perishable and nonperishable food, hot water temperature is (116.6) degrees Fahrenheit, linens and personal hygiene supplies are adequate, hazardous toxins and/or sharp items are inaccessible to residents, (1) fire extinguisher is fully charged. Exit, walkways and/or passageways, front and back yard are free of debris and/or hazards. The facility is in good repair. LPA observed a sanitizing station at the facility entry & visitors and temperatures are logged and checked, sanitizer/soap, paper towels, in all the bathrooms and additional sanitation supplies are stored in the garage. Emergency contacts updated and posted; PPE's are enough for 30 days. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA did not observe any deficiencies, therefore no citations were issued at this time. Technical Advisory (TA) issued. Resident Rights/Information - Technical Violation: 87468(c)(2)(A) An exit interview conducted with Cecenirose Pare, Caregiver and a hard copy of report was provided