Routine inspection·July 18, 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 Juanita Sotto, Caregiver. During today’s visit, LPA met with Angelita David, Administrator. The facility is a single story building with an approved fire clearance of six non-ambulatory residents and a hospice waiver for three. The facility currently has a census of six residents in care. During today’s visit, LPA toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors, testing hot water temperature in three of three resident bathrooms, and testing auditory devices on all exits . The hot water temperature measured between 114.6 and 116.6 d egrees Fahrenheit and all smoke detectors were operational . Both fire extinguishers are charged and were purchased on April 5, 2024. The facility has not conducted a fire/disaster drill this year. 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 medication s appear to be being given as prescribed. LPA conducted a complete review of staff and resident records. L PA interviewed alert residents regarding their quality of care and spoke to staff present regarding care provided. LPA confirmed that administrator has a current administrator certificate which expires on July 16, 2025. The following deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with Angelita David, Administrator 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.