Routine inspection·February 16, 2023

On 2/16/23 Licensing Program Analyst (LPA) Alfonso Iniguez conducted an unannounced visit to this facility. The purpose of today’s visit was to conduct an Annual inspection. LPA met with Tina Cinco/Administrator. Facility is licensed for (5) non-ambulatory residents and (1) bedridden resident. The facility has an approved hospice waiver for (5) residents. The facility currently has (4) non-ambulatory residents, who are residing in the facility. There are (2) residents diagnosed with mild Dementia residing in the facility. There are (2) Hospice resident at the facility. The facility does not handle residents’ cash resources. LPA toured the facility. The facility consists of (4) resident bedrooms, (2) bathrooms, living room, dining room, kitchen. Residents bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Bathrooms are clean, sanitary, and fixtures are working properly, the bathrooms grab bars are secure and non-skid mats in place. The facility water temperature properly measured at 116 F°. Resident bath towels, toiletries, and personal hygiene supplies were adequately stocked. Common areas were clean and hazard free. All doorways were free of obstructions and have auditory alarms. The kitchen is clean, sanitary, and observed to be within Title 22 regulations. The facility currently has a sufficient supply of perishable as well non-perishable food items. All cleaning solutions, hazardous items, and medications were securely locked and inaccessible to residents. Smoke detectors and Carbon monoxide detectors were tested and found to be operating properly. Outside grounds were toured and no bodies of water were observed. All walkways around the home were clear of hazards. Back patio area has a shaded porch and is used as main visiting point. LPA observed a sign-in/sanitation station at the facility entry. There is hand sanitizer and masks around the facility. Facility has screening process for all visitors, sanitizer/soap, paper towels, and additional PPE supplies are stored inside the garage. The facility is prepared to provide a private room for isolation if needed. The facility mitigation plan was submitted to CCL on 02/03/2022. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA observed no deficiencies at the facility. A copy of the liability insurance was provided to LPA. An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to the Tina Cinco/Administrator.