Routine inspection·August 11, 2023

On 8/11/2023, Licensing Program Analyst (LPA) Alfonso Iniguez conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Lilybelle Calzado/Lead Staff. LPA explained the purpose of today’s visit. The facility is licensed to serve (6) non-ambulatory residents ages 60 and above of which (1) may be bed-ridden. Facility has an approved hospice waiver for (3) patients. Now facility has 5 residents. Facility has 6 resident bedrooms, 6 bathrooms, a front den / sitting area, attached garage, dining room, living room, back shaded patio. The resident’s bedrooms are spacious and easily accommodate their furnishings. There is a patio area and chairs. Shaded area has sufficient tables and chairs for clients and staff. LPA Iniguez toured the physical plant with staff. There were no bodies of water or obstructions on the premises. A total of (3) rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the resident’s personal belongings was observed. Bathrooms were found to be within Title 22 regulations and were operational. LPA inspected rooms: #1, #2, and #3 and smoke and carbon monoxide combo are all operable conditions. The water temperature properly measured between 105°-120°F: Kitchen 107.9°F, Bathroom #1:107.5°F, Bathroom #2:106.6°F and Bathroom #3:107.9°F Evaluation Report Continues LIC 809-C LPA Iniguez observed the facility to be sanitary and appropriately furnished at the time of the visit. Storage areas for personal hygiene, sharps objects and cleaning supplies 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 were charged and were operable. A review of (3) residents' service files, (3) staff personnel files and (3) Centrally Stored Medication and Destruction Record (CSMD) were maintained in order. First AID kit was checked. LPA observed the facility's infection control practices. Deficiencies cited under California Code of Regulations, Title 22, Division 6, Chapter 8. An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to Lilybelle Calzado/Lead Staff.