Routine inspection·July 15, 2023

On 07/15/23, Licensing Program Analyst (LPA) Lizeth Villegas conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with house manager Virgilio Pascual as the purpose of today’s visit was explained. The facility is licensed to serve 6 bedridden residents ages 60 and over, there is a hospice waiver for 6. The facility is a single-story structure located in a residential neighborhood and consists of the following: The home consists of 6 resident bedrooms, 1 staff bedroom, 2 common bathrooms, 2 private bathrooms, a linen closet, living room, dining area, kitchen, pantry, staff work area, laundry area, toxins were observed to be locked and inaccessible to residents. There is a big outdoor shaded activity area, an attached garage that serves as storage unit for facility supplies and additional nonperishable items. LPA conducted a records review of 2 staff record, 2 resident records and 2 Medication Administration Records, LPA did not observe any discrepancies at the time of visit. Medications were centrally stored and properly locked, first aid kit was checked and fully stocked. The last fire drill was conducted on 06/03/23, 1 fire extinguishers fully charged, carbon monoxide detectors observed, smoke detectors are operational, and a landline was observed. All resident rooms were checked, mattresses and box springs were in good condition, adequate lighting, plenty of dresser and closet space was observed, alarm/censors on resident’s patio doors observed to be operational. Bathrooms were found to be within Title 22 regulation, toilets and water faucets worked properly, shower was free of mold/mildew, and there are sufficient toiletries accessible to residents. The water temperature properly measured between 105-120 F.. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. Exits/ Walkways around the facility were free of debris and hazards. During today’s visit the following discrepancy was cited; 87355 (e) (1-2) Criminal Record Clearance A civil penalty of $500 was assessed, deficiency cited under California code of regulations title 22 division 6 chapter 8. Exit interview conducted with house manager Virgilio Pascual, appeals rights explained, and a copy of this report was provided.