Routine inspection (multi-day)·November 2, 2024

On 11/02/24, Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced annual continuation inspection and met with Staff Tri Kristianingsih . LPA explained the purpose of the visit and spoke with the Administrator Ma Salvacion Medina over the phone. The purpose of today's visit is to deliver deficiencies observed on 10/12/2024. Deficiencies cited under California Code of Regulations, Title 22, Division 6, Chapter 8 (See LIC809-D pages). On 10/12/24, LPA did not observe a operable washer and dryer. Administrator stated that it has been out since 10/11/24. On 10/12/24, LPA observed an outdoor medical equipment and grill blocking one resident outdoor exit. LPA also observed a resident's couch blocking another resident's outdoor exit. LPA observed material (buckets, bags, rug, equipment, laundry baskets, trash cans, and etc) around the perimeter of the house. Continue to LIC809-C. On 10/12/2024, the Administrator was not present and staff had a challenging time locating facility records, resident records, and staff records. LPA and staff had to communicate with Administrator over the phone and still faced challenges. Also, during record and medication review, Resident #2 needed two staff members. Two residents remained unsupervised in the living room and the tv program was turned off for about 60 - 90 minutes . On 10/12/2024, LPA observed a pill box sorter in the medication cabinet for Resident #2. On 10/12/2024 1:16 PM, LPA smelled feces in the facility until LPA's 5:00 PM departure. An exit interview was conducted, technical assistance provided, plans of correction developed, and a copy of this report with appeal rights was discussed with the Administrator Ma Salvacion Medina over the phone. Hard copies were provided to Staff Tri Kristianingsih.