Routine inspection·July 18, 2024

On 07/18/24 at 1:16 PM, Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced required – annual inspection and met with Administrator Antonia Dionisio . The facility is licensed for six residents and approved for two hospice residents. Bedroom #1 is approved for ambulatory only. Bedrooms 2, 3, and 4 are approved for non-ambulatory residents. Annual Fees are due 07/31/24. The facility is a single story home located in a residential neighborhood. There are five (5) bedrooms, two (2) resident bathrooms, 1/2 bathroom, living room, dining room, kitchen, laundry area, and attached garage. The Administrator accompanied LPA inside and outside the facility during this inspection. Outside grounds were toured and no bodies of water were observed. Residents' bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. There are no security bars or weapons on the premises. Continue to LIC809-C. 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, hot water temperature properly measured at 120F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards, doorways were free of obstructions. LPA toured the kitchen area and observed a two-day supply of perishable and a seven-day supply of non-perishable food. Knives and toxics were kept in locked storage cabinet. First Aid kit was available. Administrator tested the carbon monoxide detector and smoke detectors in the house. Both devices were functional. 5 staff records were reviewed, 5 out of 5 staff records had required criminal record clearances or criminal record exemptions. 5 resident records were reviewed and, 5 out of 5 resident records had medical assessments and pre-appraisal or reappraisals. Two residents’ medication was reviewed. Deficiencies are being cited based on record review in accordance with the California Code of Regulations, Title 22, see LIC809D. LPA did not observe the required (20) annual training hours for staff. An exit interview was conducted and Plans of Correction developed. A copy of this report and appeals was discussed and left with Administrator Antonia Dionisio.