Routine inspection·May 9, 2024

Licensing Program Analyst (LPA) Christian Gutierrez conducted an unannounced annual inspection using the Compliance and Regulatory Enforcement (CARE) tools. LPA met with Administrator Richard Villaverde and explained the reason for the visit. Physical Plant was toured. The facility is licensed for fifteen (15) residents over the age of 60 of which 10 may be non-ambulatory. The facility is a single-story building. LPAs toured the home and inspected nine (9) resident bedrooms, two (2) staff rooms 3.5 bathrooms, kitchen, dining room, living room, office, storage room, and laundry room. LPA Gutierrez conducted a tour of the facility, reviewed records, and interviewed 2 staff and 1 client. The following were observed: Client bedrooms have the required furniture such as bed frames, dressers, lamps, and chairs. Bedrooms also have sufficient closet space. Client beds have the required linen. Each bedroom has a smoke detector which were tested bedroom #9 was observed not working technical violation (TV) was given Administrator replaced smoke detector at time of visit. There is a carbon monoxide detector located in the hallway and another in the living room area. The bathrooms were observed to be clean and equipped with grab bars and non-skid mats. Bathroom #1 was observed to have a leak under sink when hot water was turned on. The hot water was between 106.6 to 115.3 degrees which is within the required 105 - 120 degrees. There is a fire extinguisher located in the kitchen and in the laundry room and they are fully charged. Sharps are locked in the kitchen and inaccessible to residents. Cleaning supplies and toxins are locked in laundry room and inaccessible to residents. First Aid kits were fully stocked with current manuals. Sufficient supply of 2 days perishable & 7 days non-perishable foods was observed. The front and backyard are well maintained and there are no pools or large bodies of water. There is a shaded seating area for the clients located in the back patio. Passageways and exits are free of obstruction. SEE LIC 809C Three (3) staff files were reviewed and included Criminal clearance record, CPR/training, and health screening with TB. Five (5) client files were reviewed and included physicians report, TB clearance, and individual program plan (IPP)report. Last fire/earthquake drill was conducted in April of 2024. Infectious control plan was reviewed. Two (2) staff and (1) client was interviewed. Five (5) out of (5) client medications were reviewed. Medications are centrally stored and locked MAR log is used. Deficiencies have been noted on LIC 809D under Title 22 Regulations. Exit interview was conducted and a copy of this report, LIC 809D and appeal rights were provided to Richard Villaverde.