Routine inspection·December 26, 2024

On 12/26/2024 Licensing Program Analyst (LPA) William Vanegas made an unannounced visit for the purposes of completing an annual inspection. Upon Arrival LPA Vanegas was greeted and granted entrance to the facility by Caregiver Nonie Arceo. LPA Vanegas set up equipment and began a tour of the facility at 8:55AM and observed the following. This is a one storied home with five bedrooms one of which is a staff bedroom and four of which are resident bedrooms, three bathrooms, and one attached two car garage. LPA observed the facility kitchen to be clean and free of debris. LPA observed a microwave, gas stove, and dishwasher that were all tested and tested operational. Refrigerator was observed to have sufficient food for a two day supply of perishable food and a 7 day supply of non-perishable food was observed to be in the garage with sufficient emergency water. Resident's were observed to be in common areas watching television and in their respective private areas resting. Resident bedrooms were observed to have the required furnishings such as a lamp, chest drawers, bed, screened windows, a chair, and linens that are in good repair, meaning no strains or tears. Smoke detectors and carbon monoxide detectors were observed to be operational. Fire extinguisher was observed to be fully charged however did not have a fire tag on it. Resident restrooms were observed to be clean and free of mildew and debris. Water faucet and toilets tested operational, and water temperature tested at 106.7 degrees F-108.3 degrees F. Resident Showers were observed to have functional grab bars and slip resistant matts. LPA Vanegas conducted a tour of the outside of the facility and observed the following. There are no obstructions in front of any emergency exit doors. Doors have a self closing latch and are not locked. There is an outdoor seating area that is shaded for residence convenience CONTINUED ON LIC809C LPA Vanegas reviewed staff files and observed that there was no staff file for the administrator that was ever assembled and they did not have any files documented for administrator a deficiency was cited on today's date. LPA Vanegas observed licensee to not have liability insurance available for review and licensee advised that they are in the process of obtaining a new policy in this moment. A deficiency was cited on today's date. LPA Vanegas reviewed four resident files, and two staff files. All staff files did not have any of the required training that is needed annually, and it was not documented a deficiency was cited on today's date. LPA Vanegas observed all resident files to have required documents and no deficiency was cited on today's date. LPA Vanegas reviewed medications with Caregiver Nonie Arceo and observed the following. There are some medications that are not being documented when given to the resident's, and if resident refuses the medication it is not being documented and reported to community care licensing via incident report. Licensee was made aware of the process on reporting a refusal of medication and a deficiency was cited on today's date. Based on the observations made during today’s inspection, 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 were left at the facility.