Routine inspection·September 7, 2022

Licensing Program Analyst (LPA) Kruz Long conducted a site visit for the annual inspection. Upon arriving at the facility LPA met with Lourdes Villaflores (Administrator) and explained the purpose of the visit. The facility is licensed to serve: AGE RANGE 60 AND OVER. 6 AMBULATORY, OF WHICH 4 MAY BE NON-AMBULATORY. HOSPICE WAIVER FOR 1. The facility is located in a residential area. A tour of the single-story facility includes: Living room, kitchen, dining area, attached garage/storage, 3 resident bedrooms, 3 staff bedroom, 3 bathrooms. During today's visit, LPA observed the following: Facility is not operating over-capacity or beyond any conditions and limitation on the license. No pools and bodies of water on the premises. All outdoor and indoor passageways is kept free of obstruction. There is a presence of grab bars for each toilet, bathtub and shower used by residents. Bathtub or shower have non-skid mats or strips. The total daily diet is of the quality and in the quantity necessary to meet the resident’s needs. Minimum of one week supply of nonperishable foods and 2 days of perishable foods was observed. All readily perishable foods or beverages capable of growth of micro-organisms is stored in covered containers at appropriate temperature. Criminal Record Clearance for all required persons is associated to the license. Staff responsible for direct care and supervision have current first aid training. Licensee has obtained and kept on file documentation of a medical assessment, signed by a physician. Employees of CCLD is allowed to enter the facility to conduct inspections. A certified administrator is on the premise for a sufficient number of hours to manage and oversee the business operation. Centrally stored medicines is kept in a safe and locked place. LPA observed a bed, microwave, toaster in the garage which Administrator stated is for use as a staff bedroom. Facility was unable to provide an approved fire clearance or permit to convert the garage into a bedroom. Hot water temperature measured at 121.8 degrees F in bathroom #1. Per Title 22 Regulations, the deficiencies observed are documented on LIC809D. Failure to correct the deficiencies may result in civil penalties. An exit interview was conducted and a copy of this report and appeal rights provided to Lourdes Villaflores.