Routine inspection·April 2, 2025

On 04/02/2025, Licensing Program Manager (LPM) Ulysses Coronel, and Licensing Program Analyst (LPA) Jose Anguiano conducted an unannounced annual required visit using the CARE Inspection Tool. LPA Anguiano met with Cheryl Cambay and explained the purpose of today’s visit. The facility is licensed to Age range 60 and over. Approved for six (6) non-ambulatory residents, of which one (1) may be bedridden in bedroom #1. Hospice waiver approved for two (2) residents. The facility consists of the following: LPM and LPA toured facility Kitchen, Dining Room, Living Room, (4) Bedrooms, (2 1/2) Bathrooms, Garage, Back Yard, and Patio with shaded area. LPM and LPA observed sufficient storage areas for kitchen supplies, linens, medications (secured) and chemicals (secured). LPA Ulysses Coronel and Jose Anguiano toured the physical plant. There were no bodies of water on the premises. All 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. Bed linens, comforters, and bath towels were stocked during the visit. Bathrooms were operational. Hot water temperature measured at 121 to 126 degrees F between 3 bathrooms. LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected, and 2 days supplies perishable, and 7 days non-perishable food was maintained. Fire extinguishers were charged, and smoke detectors and carbon monoxide were operable in each resident's room. A review of the Medication Records Administration (MAR) was observed to be maintained in order and accurately. During the visit, LPA observed the facility's infection control practices. All mandated inspection control posters were posted including Activities Calendar and Food Menu. LPA conducted an audit of 5 resident records, and 4 personnel records. The facility is current in CCLD annual license fees. The administrator certificate is valid. The facility has a Liability Insurance Certificate valid through 03/06/2026. The following were observed during today’s visit : Hot water temperature measured at 121 to 126 degrees F between 3 bathrooms. Resident #4 who is bedridden is using bedroom #3 per facility's fire clearance only bedroom#1 is allowed to have bedridden residents. Deficiencies have been observed and citation were issued (ref. LIC 809-D). Civil Penalties are being assessed please see LIC421IM. An exit interview conducted, and plans of corrections were developed with Cheryl Cambay Raboy. A copy of the report and appeals rights were provided.