Routine inspection·November 7, 2024

On 11/7/24, at 1:30pm, Licensing Program Analyst (LPA) Perry Scott conducted an unannounced visit to My Mother’s Place. The purpose of today’s visit was to conduct the required annual inspection, using the new Care Tool. LPA was met by Rosa Pioquinto, staff, and the purpose of today’s visit was explained. The facility is licensed to serve six (6) non-ambulatory residents aged 60 and over. Currently, the home has (3) residents in care. The facilities’ annual fees are current. The facility is a single-story structure located in a residential neighborhood. It consists of the following: five (5) resident bedrooms, one (1) staff bedroom, three (3) bathrooms, living room, dining area, kitchen, laundry room, backyard patio, and a garage. LPA could not conduct a records review because the resident and staff files were not available. LPA could not a medication review because the Medication Administration record was not available for review. LPA could not verify that an emergency drill was done because the records were not available for review. LPA could not verify the staff roster nor resident roster because the facility records were not available for review. Deficiencies were cited during the inspection. At 1:50pm, LPA and staff toured the physical plant. There are no bodies of water or firearm/ammunition on the premises. All resident rooms were checked. Beds and bedding were in good condition, adequate lighting provided, adequate storage for client personal belongings was observed. Walls and floors were in good repair. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulations. Toilets and water faucets worked properly. The shower was free of mold/mildew, there is adequate lighting, and sufficient toiletries accessible to clients. The water temperature measured 108.5F. A comfortable temperature is maintained in the facility. Report continued on LIC809-C LPA observed the facility to be clean and appropriately furnished at the time of visit. Storage areas for cleaning agents, toxins, and sharps were inaccessible to clients. The kitchen was inspected and there is enough perishable and non-perishable food available, which is stored properly. Medications were centrally stored and properly locked, first aid kit was checked and fully stocked . The fire extinguishers were charged and last inspected on 8/22/2024. Smoke/ Carbon Monoxide detectors were operable. During the visit, LPA observed the facility infection control practices. LPA observed screening protocols for visitors, staff, and residents. LPA observed that sanitizing stations were in common areas and restrooms. LPA observed that the facility had the required postings, posted throughout the facility. LPA further observed the facility to have a 90-day supply of Personal Protective Equipment (PPE). LPA advised the administrator to continuously monitor the Centers for Disease Control (CDC) website and Community Care Licensing ( www.cdss.ca.gov ) for Provider Informational Notices (PIN) and for any updates relating to COVID-19 guidance and other related issues. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA did observe deficiencies during the visit. Citations were issued during the annual inspection, and are listed on LIC9099-D. An exit interview was held, and a copy of the Facility Evaluation Report was provided Rosa Pioquinto, staff.