Routine inspection·October 21, 2024

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to the facility today to conduct an Annual Required Evaluation. LPA was greeted and granted entry by Staff #1 (S1) at 8:05 AM. During today’s visit, LPA met with Concordia "Cora" Velasco, Licensee. The facility is a five bedroom, single- story building with an approved fire clearance of six non-ambulatory and a hospice waiver for one resident. The facility currently has a census of four residents in care. During today’s visit, LPA toured the facility at 9:00 AM and inspected the physical plant, including but not limited to testing all smoke detectors, testing hot water temperature in two of two resident bathrooms, and testing auditory devices on all exits . The hot water temperature measured between 109.4 to 110.1 degrees Fahrenheit and all smoke detectors were operational . The fire extinguisher is charged and was serviced on May 18 2024. The facility’s last fire drill was conducted on January 2, 2024 . LPA inspected the facility food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand . LPA observed medication storage and reviewed the centrally stored medications. Per review medications are being given as prescribed. LPA reviewed three of three staff training and fingerprint records and conducted a complete review of resident records. Medical assessments for two of four residents need to be updated and bed rail orders were not on file for four of four residents. LPA interviewed alert residents regarding their quality of care and spoke to staff present regarding care provided. The Licensee is currently working on renewal of Administrator's Certificate. The following deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with Concordia Velasco, LIcensee and a copy of this report was given to the facility along with a copy of the LIC 858, LIC 859; LIC 809-D and Appeal Rights.