Routine inspection·October 24, 2023

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA was greeted and granted entry by Staff Vera Manligas. LPA discussed the purpose of the inspection and Administrator (AD) Marilou Sabio was contacted by phone and arrived at 1:15 p.m. During the inspection LPA, Staff Manligas, and AD conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, garage and observed the following: This is a one-story home with three resident bedrooms, three bathrooms, and two staff bedrooms. All resident bedrooms had the required furnishings. LPA observed all resident beds had linens and blankets. LPA observed all windows were screened. The back yard has a shaded sitting area. LPA observed two staff and two residents present. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested at 120.3 F degrees. LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed and posted. Food menu was also posted and visible. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguisher was observed to be fully charged. Appliances were all inspected. Sharps were observed locked with medication. All and any toxic chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to residents. Medication closet was observed to be locked. LPA reviewed two out of two resident files and three staff files. During staff file review, LPA observed staff present did not have a current, unexpired CPR and first aid card and AD does not have a current, unexpired AD certificate, and was unable to provide LPA with copies of documents submitted to CCL for AD certificate renewal; two Deficiencies were cited during today visit. LPA interviewed staff and residents present. Based on the observations made during today’s inspection, two deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report and appeal rights was left at the facility.