Routine inspection·May 13, 2024

On 5/13/2024, Licensing Program Analyst (LPA) Alfonso Iniguez conducted an unannounced annual required using the CARE Inspection Tool. LPA met with Ceceni Rose Pare /Administrator. LPA explained the purpose of today’s visit. The facility is licensed to serve (6) elderly adults ages 60 and above of which (6) can be non-ambulatory. Facility has an approved hospice waiver for (6). The facility is a single-story structure located in a residential neighborhood. It consists of (5) bedrooms, (3) full bathrooms, living room, dining room, kitchen, shaded back yard, front yard, laundry room and attached 2 car garage. LPA Iniguez toured the physical plant with Administrator. There were no bodies of water or obstructions on the premises. A total of (3) rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the residents’ personal belongings was observed. Bathrooms were found to be within Title 22 regulations and were operational. LPA inspected (5) rooms and (2) bathrooms. Smoke and carbon monoxide are all operable conditions. The water temperature ranged from 115.5F° – 116.2F°. The room temperature ranged from 76F° – 78F°. Evaluation Report continues on LIC 809-C LPA Iniguez observed the facility to be sanitary and appropriately furnished at the time of the visit. Storage areas for personal hygiene were observed. Sharps objects were stored and not accessible to residents in care. The kitchen was inspected and there is sufficient perishable and non-perishable food available maintained properly. All fire extinguishers were charged and were operable. The last Fire/Disaster Drills were conducted on 3/25/24. A review of (3) residents' service files and (3) staff personnel files were maintained in order. LPA reviewed (3) Medication Administration Records (MARs) no discrepancies were found. LPA observed the facility's infection control practices. All mandated inspection control posters were posted throughout the facility. Copy of liability insurance was email to LPA . Facility Annual Fess current. Deficiency cited under California Code of Regulations, Title 22, Division 6, Chapter 8. See details below: -Unlocked cleaning supplies found underneath kitchen sink and a resident’s bathroom. (Pictures taken by LPA). -No current LIC 602A for (R#1). Primary diagnosis requires medical assessment every year. An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to Ceceni Rose Pare /Administrator.