Routine inspection·August 11, 2023

On 08/11/23, Licensing Program Analyst (LPAs) Ernand Dabuet and Socorro Leandro conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with lead caregiver Rino Santos. LPA explained the purpose of today’s visit. Muqeet Dadabhoy was unavailable to be present for the visit. The facility is licensed to operate for (6) non - ambulatory elderly adults ages 60 and above. Currently, the facility has (2) hospice resident in care. The facility is approved for (2) hospice resident. The facility is a single-story structure located in a residential neighborhood. It consists of the following: (4) residents' rooms, (2) bathrooms, (1) staff bedroom, a living area, a dining area, a kitchen, an outside seating area, and a garage. LPAs toured the physical plant. There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in operational condition, lighting was provided, and storage for the resident's personal belongings was observed. Bed linens, comforters, and bath towels were available during the visit. Bathrooms were operational with water temperature measured at 107.9 degrees F. A comfortable temperature of 75 degrees F. was maintained in the facility. LPAs observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene and sharps objects were stored and not accessible to residents. The kitchen was inspected, and sufficient perishable and non-perishable food was maintained adequately. A fire extinguisher was charged. A review of the Medication Administration Records (MAR) was observed to be maintained. (Evaluation Report continues LIC 809-C) During the visit, LPAs observed the facility's infection control practices. LPAs observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas and restrooms. LPAs observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. LPAs observed First Aid Kit was maintained. A working landline phone was operational. The facility had operational smoke and carbon monoxide in bedrooms and common areas. An audit of residents #1-#5 (R1-R5) service files and staff #1-#4 (S1-S4) personnel files. Interviews were conducted with (3) residents and (0) staff. The facility is not current on annual license fees and an invoice was left with Santos. DEFICIENCIES: Staff #1-#4 (S1-S4) all had expired CPR/First Aid. No emergency drills (Fire/Earthquake) on record. Administrators Certification for Teresita Castaneda and MuQueet DaDabhoy are expired. Non-working rear stove burner and middle front burners. Non-working oven door. Stove hood require deep cleaning. Electrical wire exposed in room #1 (missing electrical wall cover). Pest in kitchen between refrigerator and cabinet. Hazardous materials accessible to resident in care in patio area/exterior pathways. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), the following deficiencies have been observed and citation issued (ref. LIC 9099-D). In light of no administrators not available for this inspection visit, LPAs unable to obtain a copy of a Liability Insurance. An exit interview conducted with Rino Santos, and a copy of report and appeal rights provided. Note: *Citations not cleared by the due date will be a $100 fine assessed for each citation until it is cleared. Civil penalties will continue to accrue until Proof of Corrections (POC) are cleared. *