Routine inspection·April 26, 2023

On 04/26/23, Licensing Program Analyst (LPA) Lizeth Villegas conducted an unannounced annual visit and met with the caregiver Araceli Villanueva while the purpose of today’s visit was explained. The facility is licensed to serve five (5) non-ambulatory of which 1 may be bedridden in bedroom #4 adults ages 60 and over and have a hospice waiver for 2 The facility is a one-story home located in a residential neighborhood. The property consists of the following: A staff work space, four (4) resident bedrooms, two (2) bathrooms one(1) of which is private, linen closet, dining area, kitchen, living room, outdoor shaded area and an attached garage that houses a washer and dyer, second fire extinguisher and an empty refrigerator. LPA and caregiver toured the inside and outside of the facility, all client rooms were checked. Mattresses and box springs were in good condition, plenty of dresser and closet space was observed. Walls and floors were clean and in good repair. Bed linens, comforters and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulation. Toilet and water faucets worked properly, water temperature in private restroom one (1) measured at 114.3, restroom two(2) measured at 117.4 shower was free of mold/mildew, there is adequate lighting, and sufficient toiletries accessible to resident. Perishable and Non-perishable food supply was checked and adequately stocked at time of visit. Kitchen water temperature measured at 118.8 F. , carbon monoxide detector was observed and operational. Last fire drill conducted on 04/03/23. Smoke detectors were working properly, fire extinguisher is fully charged and mounted on kitchen wall, toxins and knifes were locked and inaccessible to resident. First aid kit was checked and fully stocked. A landline was observed located in the staff work area. Outside grounds were toured and no bodies of water were observed. Exits/ Walkways around the home were free of debris and hazards. During today’s visit LPA did observe deficiencies; 87705(j), 87307(a)(3)(B), 87412(c). 809-D pages are attached. Exit interview conducted with Caregiver Araceli Villanueva, appeals rights explained and a copy of this report was provided.