Routine inspection·March 24, 2022

Licensing Program Analyst (LPA) Patricia Velazquez conducted an unannounced visit to Sonia's Care Home. The purpose of today's visit was to conduct a Required 1 Year inspection. LPA Velazquez was allowed entry into the facility and met with Caregiver Daysi Guzman. Administrator (AD) Manuel Perez was also present. The facility is licensed for 6 non-ambulatory residents. There are currently 5 residents living in the facility. AD Perez indicated one resident was in the hospital. LPA Velazquez then requested a copy of the Serious Incident Report (SIR) LIC 624 and AD Perez indicated he was not aware he had to submit an SIR to Licensing when a resident is hospitalized. The last emergency disaster drill was conducted on March 19, 2022. At 10:27 AM LPA Velazquez conducted a tour of the physical plant along with AD Perez. The 1 story home consists of 5 resident bedrooms with 2 bathrooms. There is 1 staff bedroom with 1 staff bathroom. The facility also has 2 living rooms, dining area, and kitchen. The 5 residents in the facility appeared well-groomed and well cared-for. The resident bedrooms had the required furnishings, bed linens, and closet/drawer space to accommodate each resident comfortably. LPA Velazquez observed a postural support bar on two of the resident beds. AD Perez indicated he did not have a written physician's order for the postural support bar for the 2 residents. LPA and AD observed a sliding glass door in one of the living rooms did not have an auditory alarm and the facility has residents with Dementia. AD verified the sliding glass door did not have an auditory alarm pursuant to Title 22 regulation. During the visit an auditory alarm was purchased and installed which LPA Velazquez verified. Resident bath towels and personal hygiene supplies were adequately stocked. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, showers were free of mold/mildew and a non-skid surface or mat was in place. LPA Velazquez tested the hot water temperature in the resident bathrooms and the temperature measured at 116.2 degrees Fahrenheit in the left sink and at 116.7 degrees Fahrenheit in the right sink of the first bathroom and at 115.3 degrees Fahrenheit in the second bathroom which AD Perez verified. LPA Velazquez inspected the kitchen along with AD Perez. Perishable and non-perishable food supply was checked and adequately stocked at the time of the visit. The fire extinguisher was fully charged. The smoke and carbon monoxide detectors were tested and found to be operational. Toxins and sharps were locked and inaccessible to residents. First Aid kit was checked and found to be in order. The facility did have a First Aid guide. LPA Velazquez along with AD Perez toured the outside grounds. There was shading and sufficient seating for residents. LPA and AD also observed a piece of wooden fencing with nails jutting out which AD Perez verified. AD indicated he would remove the wooden fencing that was lying on the ground. Walkways around the home were clear of hazards and the exit gates were operational. There were no security bars or weapons on the premises. No resident or staff files were reviewed at the time of this visit but LPA did verify 2 of the 6 residents in the facility were diagnosed with Dementia which AD verified. LPA Velazquez informed AD Perez to ensure a written physician's order for the Postural Support Bars is present in a resident's file pursuant to Title 22 Regulation Section 87608 Postural Supports. LPA also reviewed and provided a copy of Title 22 regulation Section 87211 Reporting Requirements. AD Perez acknowledged receiving a copy of said regulation. Deficiencies cited under California Code of Regulations Title 22, Division 6, Chapter 8. An exit interview was conducted with Administrator Manuel Perez and a copy of this report along with the appeal rights and a copy of the LIC 9098 were provided at the time of this visit.