Routine inspection·May 11, 2021

On 05/11/2021 on around 12:30 pm Licensing Program Manager (LPM) Janae Hammond and Licensing Program Analyst LPA Jose Calderon, conducted a required annual inspection with primary focus on infection control measure. LPA was greeted by Licensee Jovan Iglesias in person. The facility is a 4 bedroom 3 bathroom with 4 clients living at the facility. As a part of the inspection, LPM and LPA reviewed client service records, client P & I records, personnel records, medications. LPA inspected the inside/outside facility grounds. LPA conducted a review of (4) client service records and (1) personnel records. LPA conducted a review of P&I and Medication Administration Record (MAR) and medications. All medications and records are maintained in compliance with label instructions. All records are maintained in order. LPA along with Mr. Iglesias toured the entire facility inside and outside grounds. This home consists of (4) client bedrooms (4) client bathrooms. A living room, kitchen, dining area, activity room, laundry area and patio. During the inspection LPA observed the following client rooms: mattresses and box springs in working condition, adequate lighting present, plenty of dresser/closet space is present, and all bed linens present. LPA observed fully stocked bedding and towel in closets. All bathroom fixtures are in working condition. LPA observed sufficient bedding, linens, and toiletries are accessible to clients. Water temperature properly measured at 109.0 degrees F. There were (4) clients present during the inspection. There were adequate perishable and non-perishable food supply were kept at the home and fully stocked in kitchen cabinets. LPA tested facility Carbon Monoxide and Smoke Detectors and are working properly. Evaluation Report continues on LIC 809-C The facility has (1) Fire Extinguisher fully charged. All disinfectants, cleaning solutions and toxins were in locked cabinets. Medications are stored in locked cabinet in kitchen area and inaccessible to clients. Facility first aid kit was checked and in compliance. Outside grounds were toured and no bodies of water were observed. All Exits/ Walkways around the home were free of debris and hazards. The facility has a functional operating landline telephone in kitchen area. All mandated posters were displayed on walls. Administrator Certification Program expires 07/12/2022 for Jovan Iglesias According to the California Code of Regulations (Title 22, Division 6, Chapter 1), LPA did observed no deficiencies, no citations are issued. An exit interview was conducted, and a Facility Evaluation Report were provided to Jovan Iglesias.