Routine inspection·January 14, 2023

On 1/14/2023, Licensing Program Analyst (LPA) Lourdes Montoya conducted an unannounced annual required visit with a primary focus on Infection Control measures using the new CARE Inspection Tool. LPA Montoya conducted a risk assessment with Staff Teresa Guanlao who confirmed the facility is free of Covid-19 infection. LPA met with Staff Rodolfo Villanueva and Staff Benjamin Sayco upon arrival at the facility. Staff Teresa Guanlao arrived later and LPA explained the purpose of today’s visit. The facility is licensed to operate for six (6) elderly residents ages 60 and above. The facility is approved for six (6) non ambulatory and hospice waiver for 6. The facility is a single-story structure located in a residential neighborhood. It consists of the following: four (4) bedrooms of which two (2) are private rooms and two (2) are shared rooms, 2 bathrooms, a living area, dining area, kitchen, and outside covered patio area. LPA Montoya and Staff Guanlao toured the inside and outside of 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, storage for client personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured 116.1 degree Fahrenheit. A comfortable temperature was maintained in the facility. LPA observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene were stored and not accessible to clients. The kitchen was inspected and there is sufficient perishable and non-perishable food available maintained properly. A fire extinguisher was charged and last serviced on 3/29/2022, smoke detectors and carbon monoxide were operable. A landline telephone 424-263-5410 was available and operable. Evaluation Report Continues on LIC 809-C Medications are locked & centrally stored in a cabinet near the entrance main door. The first aid kit has all required supplies. During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, sanitizing stations in common areas and restrooms. LPA observed every staff was wearing a face covering. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. The facility has a Mitigation Plan Report approved by CCLD. Technical assistance was provided to Staff Guanlao. Deficiencies are being cited based on LPA observation, interviews conducted and record review in accordance with the California Code of Regulations, Title 22, see LIC809D. An exit interview was conducted, and Plans of Corrections were reviewed and developed with Staff Teresa Guanlao. A copy of this report and appeal rights were provided.