Routine inspection·April 12, 2023

On 4/12/23, Licensing Program Analyst (LPA) Perry Scott conducted an unannounced annual required visit using the new CARE Inspection Tool. LPA was allowed entry into the facility by Delia Presillas, caregiver, and later met with Elizabeth Gomez, Administrator. LPA met with Ms. Gomez and explained the purpose of the visit. The facility is licensed to operate age range 60 and over, of which six (6) maybe non-ambulatory, one(1) maybe bedridden, and hospice waiver for 3. Currently, the facility has 5 residents that include: (4) non-ambulatory, and (1) ambulatory resident. The facilities annual fees are current. The facility is a two-story residential home located in a residential neighborhood. The facility is located on the first floor, and consist of (3) resident bedrooms, (2) bathrooms, living room, dining room, kitchen, activity room, garage/ storage and backyard with patio cover and tables and chairs. LPA toured the physical plant with Ms. Presillas. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting provided, storage for client personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulations and were clean and operational. The LPA observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharp objects were stored and not accessible to clients. The kitchen was inspected and there is sufficient perishable and non-perishable food available and observed to be maintained properly. First Aid kit was checked and has required items. A fire extinguisher was charged, smoke detectors and carbon monoxide were operable. Fire Drills were not observed, and the facility will be cited for not having observed any. Continued on LIC809-C LPA conducted a records review of (5) client records, (4) staff records and reviewed the facility disaster plan. 4 out of 4 staff records were incomplete. The facility disaster plan was current and in compliance with Title 22 at the time of visit. LPA reviewed (5) Client Medication Administration Records and did not observe any discrepancies at the time of the visit. During the visit, LPA observed the facility infection control practices. LPA observed screening protocols for visitors, staff, and residents, sanitizing stations in common areas and restrooms. LPA observed staff and residents were wearing face coverings, LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA did observe deficiencies therefore citations were issued. An exit interview was conducted, and a copy of the report was provided to Elizabeth Gomez.