Routine inspection·January 7, 2025

This unannounced inspection is being conducted by Licensing Program Analysts (LPAs) Sean Haddad and Hanna Gough for the purpose of conducting a Required – 1 Year Inspection. LPAs met with Staff #1 (S1) Elsa Palomino and Staff #2 (S2) Florin Miclea and discussed the purpose of the inspection. Administrator (AD) Ramona Miclea was not present during the inspection. LPAs reviewed Infection Control requirements. At about 1:30PM, LPAs and S2 conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, and garage and observed the following: Structure: facility is a 7-bedroom, 3-bathroom, one-story house with an attached garage that is used for storage. There is a back yard with a patio cover for the residents. LPAs observed 2 staff and 5 residents present at the facility in addition to S2. Resident Bedrooms: the 4 resident bedrooms are spacious and will easily accommodate the residents’ furnishings. Furniture for each resident bedroom inspected. Staff Bedrooms: LPAs inspected three staff bedrooms. Bathrooms: the bathrooms were clean, faucets and toilets were operational. Water temperature: tested at 113 degrees F in the 2 resident bathrooms. Linens & Hygiene Supplies: new linens and fully stocked linen closets were observed. Emergency Phone Numbers, Exit Plan & Menu: reviewed. Food Service: LPAs observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food is available as required by regulations. Carbon Monoxide, Smoke Detectors, Fire Extinguisher: observed and tested. Appliances: stove burners, microwave, washer, and dryer inspected. Knives: observed locked in the kitchen. Toxins: observed locked in the garage. Medication cabinet: observed to be locked. First-Aid Kit and Activity Supplies: observed and available. Facility’s licensing fees are not yet past due. At about 2:30PM, LPAs reviewed 5 resident files and 3 staff files, interviewed 2 residents and 2 staff, and inspected medications for 5 residents. Facility does not handle resident money. CONTINUED. During the inspection, LPAs and S2 observed the following: based on observation and documents, the side exit gate was bolted shut and the door from the south side of the home to the north side where the primary emergency exit is located was locked; based on documents, the licensee did not ensure 2 out of 2 staff received the required 20-hour annual training; and based on observation, the facility's fire extinguisher has not been serviced or inspected in the last year. Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. See LIC809D. Immediate civil penalties are being assessed. See LIC421IM. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative.