Routine inspection·June 24, 2023

On 06/24/2023 Licensing Program Analyst (LPA) Antonine Richard conducted an unannounced Annual required visit using the new Care Inspection Tool. LPA was met by Arturo cabico Care giver and later met with Bien Cadungog, Manager and the purpose of today’s visit was explained. There are currently (6) residents in the facility . (4) residents are ambulatory and (2) are non-ambulatory. The facility is a single story structure located in a residential neighborhood. It consists (7) bedrooms, (3) full bathrooms, shaded back yard, front yard, laundry room and a detached 2 car garage. LPA Richard and Cadungog, toured the entire facility inside and out. Documents are posted as mandated. Bedrooms 1-6 are occupied by residents and contain the mandated furniture. Bedroom (7) is a staff bedroom. The (3 ) bathrooms are clean and operational. First aid kit is fully stocked with manual, smoke detectors were in compliance and operational. No firearms are stored at facility and no bodies of water present. Medications are stored, locked and inaccessible to residents. Reviewed residents and staff files. Ample supply of perishable and nonperishable food, linens and personal hygiene supplies are adequate, hazardous toxins and/or sharp items are inaccessible to residents, 2 fire extinguishers are fully charged. First Aid kit complete and with Manual. Exit, walkways and/or passageways, front and back yard are free of debris and/or hazards. The facility is in good repair. During the visit, LPA observed the facility infection control practices. LPA observed a sanitizing station at the facility entry, visitors are logged and temperature checked, sanitizer/soap in the staff bathroom and additional sanitation supplies are locked in the garage. According to the California Code of regulations (Title 22, Division 6, Chapter 8), LPA did observed deficiencies, The hot water temperature measured 124.2F and No carbon monoxide detectors at the facility. . LPA observed staff and residents wearing masks, resident private rooms will be converted to isolation rooms (if needed) and required postings throughout the facility. The resident’s temperatures are checked and logged once a day. PPE's are enough for 30 days. According to the California Code of Regulations (Title 22, Division 6, Chapter 8),There were 2 deficiencies observed at the time of visit. therefore 2 citations were issued at this time. An exit interview conducted and plan of corrections was developed. A copy of the report and appeal rights were provided to the manager Bien Cadungog,