Routine inspection·April 25, 2024

Licensing Program Analyst (LPA) Sparkle Day conducted an unannounced visit to the above facility. The purpose of today’s visit was to conduct the one- year inspection. LPA met with Nicanor Santos and Jennifer Mape, caregivers and the purpose of the visit was discussed. Facility is licensed to serve clients 60 years of age and older with a capacity of 6 non- ambulatory residents. Currently the facility has 3 residents on hospice and 2 residents on Home Health. During todays visit LPA toured the facility and reviewed (2) resident facility files. This home is a single story home consisting of: (5) resident bedrooms, (4) Full bathroom, 2 staff bedroom and 1 office, living room, kitchen with dining area, laundry room (located in the attached garage) and an outdoor shaded patio area. LPA toured the Resident bedrooms 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 between 122.1F. 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. Deficiencies cited under California Code of Regulations (Title 22, Division 6, Chapter 8), LPA observed the following deficiencies: -On 4/25/24 at 2:00 PM LPA observed that the facility has 3 residents on hospice and the license does not indicate a hospice waiver for this facility.. Due to time restraints LPA was unable to complete visit today. LPA will return to at a later date. Other citations may be cited at that time. Exit interview conducted and report and appeals rights left at facility at time of visit with Nicanor Santos.