Routine inspection·June 24, 2024

On 6/24/24 at 8:40 a.m., Licensing Program Analyst (LPA) Jewel Baptiste conducted an unannounced Annual/Required inspection to A Faithful Home of Cerritos. Upon arrival LPA was greeted by Direct Support Professional (DSP) Mark Anthony who contacted the House Manager, Rudy Ignacio. At 8:50 a.m. to assist with today's visit. This home is licensed to serve age range 60 and over. Six (6) non-ambulatory only. Hospice waiver for two (2). There were (6) residents in care during the time of this visit. The last emergency disaster/fire drill was conducted on 5/24/2024. The Administrator Certificate expires on 4/28/2025 #6034678740. During today's visit LPA inspected the physical plant inside and outside, reviewed the food supply, tested the smoke/carbon monoxide detectors, reviewed (4) staff files, (6) resident files, and medications for (6) residents. LPA attempted to interview all 6 residents, 2 of which was able to communicate. LPA also spoke to a responsible party for 1 of the residents. During the visit 2 staff was interviewed. This home contains 5 bedrooms, 2 bathrooms, living room with non-working fireplace, kitchen, dining room and an attached garage. LPA toured the physical plant with the House Manager and observed all (5) resident bedrooms, contained required furniture, lamps, dresser, chair, and closet space. The two bathrooms contain a working toilet, basin and water faucet, walk in shower with grab bar, shower chair, and bathmat. The temperature measured at 119.6*F-120.0*F. The smoke detectors were battery operated, tested, and observed to be working properly. The carbon monoxide detector was located in the hallway, tested, and functioning properly. There were (1) fire extinguisher located in kitchen fully charged and up to date. The kitchen was toured and contained working appliances; refrigerator, stove, oven and contained dishware, cups, plates, utensils, pots, and pans with knives secured and locked in kitchen cabinet. The cleaning agents and toxins was locked in the garage. The pantry was well stocked with canned goods, pasta, cereals, and the food supply contained a sufficient supply with a two-day supply of perishables and a seven-day supply of non-perishables that met title 22 guidelines. Walls and floors, cabinets and counters were clean and sanitary throughout the home. (Report continued on LIC809C.) During file review LPA observed 5 out of 6 residents has dementia but there physician’s report has not been updated within the required year. 1 staff file review did not have the required TB test. The facility stated staff had the screen and will send to LPA by tomorrow. The outdoor grounds were toured and inspected, and the patio was well maintained with a shaded seating area accessible for resident’s use. A shed full of storage supplies was also observed in the back yard. The garage contained a working washer and dryer, with cabinetry that contained emergency supply kits, toiletries, personal care supplies, and toxins and cleaning agents stored locked and inaccessible to the residents. Exit interview conducted with Rudy Ignacio, House Manager, a copy of this report was provided, and Appeal rights given.