Routine inspection·September 18, 2023

Licensing Program Analyst (LPA) Ashley Calderon conducted an unannounced required annual inspection. LPA used the CARE Inspection Tool for the purpose of today's visit. Upon arriving at the facility, LPA met with Administrator / Hector Vargas who assisted with the visit. The facility is licensed to serve Residential Care Facility for the Elderly for a capacity of forty (40) residents, ages 60 and over. Licensee prefers to serve Developmentally Disabled Blind Residents. Approved for (5) Hospice Wavier. During today's inspection, the following was observed: LPA toured the inside and outside of the facilities physical plant alongside with Hector Vergas. LPA observed random resident bedrooms: Room 1, Room 14, Room 15 and Room 20. Room #1 was observed and requires repair on the wall near residents closet, wall has chipping and no paint resulting in material in wall (metal) and dry plastered visible. Deficiencies noted. Staff storage room and office were remained closed and inaccessible to residents in care. LPA observed storage room used for chemicals, disinfectants, hygiene supplies and paper goods kept locked and inaccessible to residents. PPE was observed in the Copy Room and facility contains more PPE in storage garage. Facility was kept a comfortable temperature: 74 Degree F. Smoke detectors and pull system observed and hard wired to the Fire Dept. Of Sierra Madre. Carbon Monoxide were tested and operable. Last Fire/ Disaster Drill conducted: 6-28-23. At 11:50AM LPA observed laundry room and laundry room cabinet. Cabinet had a unlocked number pad lock latched but not closed. LPA and Hector observed bleach and laundry detergent in cabinet accessible to clients in care. Hector Vergas immediately closed pad lock shut. Deficiencies were noted. Residents rooms are shared rooms and have required furniture, adequate lights and were kept clean, safe and sanitary. Continuation on 809-C... LPA observed (2) common restrooms and shower rooms. Shower room #4 had painted chipping on wall, unpainted, painting cracks /paint falling off walls and tiles lifting off wall. Lounge area observed and dining area observed with posted food menu. Kitchen area observed: having adequate perishable and non-perishable food items in place for residents in care. Kitchen appliances were operable. Liability Insurance expires 7/15/2024. Administrator Certificate expires: 6/3/2024. Random call systems were tested and were operable. Outside patio had varies umbrellas and sitting areas for residents in care. No large bodies of water observed. Facility number: 626-355-1447, telephones were operable and residents are able to use phones, located in the lounge area. During today's visit, deficiencies were noted per Title 22 Regulation. An exit interview was conducted and a copy of this report, 809 and appeal rights were given to Administrator Hector Vergas via email do to printer issues. LPA will return at another time to continue annual inspection. Due to time restraint LPA will return at a further time.