Routine inspection·November 30, 2023

On 11/30/23, Licensing Program Analyst (LPA) Elvira Gonzalez conducted an unannounced annual required using the CARE Inspection Tool. LPA met with house manager Alvin Ramos and explained the purpose of today’s visit. LPA was granted entry to this facility. The facility is licensed to operate for (6) ambulatory and may be (6) bedridden elderly residents ages 60 and above. The facility is approved for (6) hospice residents. During this inspection, LPA observed construction being done in this facility. The construction is blocking emergency exit for bedroom #3. The facility is a single-story structure located in a residential neighborhood. It consists of the following: four (4) residents' rooms, two (2) common bathrooms, (1) staff bedroom which is under construction, a living area, a dining area, a kitchen, and an outside patio area which is not accessible to residents due to construction. LPA toured the physical plant with house manager Alvin Ramos. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for resident personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of the visit. The bathrooms were found to be within Title 22 regulation. Water temperature properly measured between 105F-120F. A comfortable temperature was maintained in the facility. LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene were stored and not accessible to residents. The kitchen was inspected and there is sufficient perishable and non-perishable food available maintained properly. All fire extinguishers are fully charged, and smoke detectors operable. A working landline telephone remains available. A review of Medication Administration Records and Fire Drill are maintained and in order. The last fire drill was conducted on 09/03/23. Evaluation Report continues LIC 809-C During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas and restrooms. LPA observed staff wearing face coverings, LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. The facility has an approved Mitigation Plan Report on file with CCLD. Deficiencies: During this inspection LPA observed construction being done in facitlity. Licensee did not notify the department of these plans. While reviewing resident files, LPA observed that resident #4 was missing a TB test along with results. Deficiencies are issued and an exit interview was conducted with house manager Alvin Ramos. A copy of this report is provided along with the appeal rights.