Routine inspection·June 21, 2024

On 06/21/24 at 8:23 AM, Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced required – annual inspection and met with House Manager Ricardo Bernal . The facility is licensed for two (2) ambulatory and four (4) non-ambulatory, of which two (2) may be bedridden. Facility has two approved hospice waivers. Annual fees are current. This facility consists of an office area, foyer, kitchen, living room, dining area, a wheelchair ramp (located on the right side of the house), five (5) resident bedrooms, one staff bedroom, two (2) bathrooms, backyard patio, and a garage (washer/dryer). The facility is clean, sanitary, and in good repair. The House Manager 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 111 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. Continue to LIC809-C. 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. The facility has a total of three fire extinguishers, last serviced March 20, 2024. House Manager tested the carbon monoxide detector and smoke detectors in the house. Both devices were functional. 5 staff records were reviewed, 5 out of 5 staff records had required criminal record clearances or criminal record exemptions. 6 resident records were reviewed and, 6 out of 6 resident records had medical assessments and pre-appraisal or reappraisals. Two residents’ medication was reviewed. Deficiencies are being cited based on LPA observation and record review in accordance with the California Code of Regulations, Title 22, see LIC809D. LPA did not observe one medication being given to Resident #1 from June 1 – June 20, 2024 which poses a potential health risk to client in care. An exit interview was conducted, technical assistance provided, plan of correction developed, and a copy of this report and appeals was discussed and left with House Manager Ricardo Bernal.