Routine inspection·December 21, 2023

On 12/21/2023 at 9:56 AM, Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced Required – Annual Inspection and met with Administrator Glenda Marquez. Six (6) residents and two (2) staff were present during this inspection. Facility is licensed to serve six (6) non-ambulatory, of which one (1) may be bedridden. The facility has a hospice waiver for two (2) residents. The facility is a single-story structure located in a residential neighborhood. It consists (4) bedrooms, (2) full bathrooms, shaded back yard, front yard, laundry room in the attached 2 garage.. Administrator accompanied LPA inside and outside the facility during this inspection. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. There are no security bars or weapons on the premises. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place, hot water temperature properly measured between 107.2 F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards, doorways were free of obstructions. LPA toured the kitchen area and observed a two-day supply of perishable and a seven-day supply of non-perishable food. Knives and toxics were kept in locked storage cabinet. First Aid kit was available. Two fire extinguishers, last serviced December 9, 2023 was observed in the kitchen and garage area. LPA tested all carbon monoxide detectors and smoke detector. Both devices were functional. Continue to LIC-809C 5 staff records were reviewed, 5 out of 5 staff records had required criminal record clearances or criminal record exemptions. Two staff interviews were conducted. 5 resident records were reviewed and two residents’ medication was reviewed. Two residents were interviewed. 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. During record review, LPA did not observe annual medical assessments and reappraisals for three residents diagnosed with dementia. During record review, LPA did not observe that the Administrator’s recertification requirements were met. An exit interview was conducted, plans of corrections were reviewed and developed. A copy of this report and appeal rights were discussed and left with Glenda Marquez.