Routine inspection·March 21, 2022

Licensing Program Analysts (LPAs) Kevin Saborit-Guasch and Claudia Gutierrez made an unannounced visit to the facility in order to conduct a required annual inspection. LPAs arrived at facility, were greeted and granted entry by Trinia Renada, caregiver after explaining the purpose of the visit. Administrator Rizelina Reyes was called during the visit but was unable to assist as she was performing the groceries resupply for the facility. At approximately 11:15am, LPAs accompanied by caregiver toured the inside and outside of the facility. There are currently six (6) residents in care, one of (1) of which is currently on hospice. Residents are observed to be relaxing in their bedroom or in the common areas are appear well taken care of. The bedrooms include all necessary components and sufficient quantity of linen is observed also. Both bathrooms are equipped with grab bars and slip mats. Facility appears to be clean, sanitary and free of odors in all areas inspected. Cleaning supplies are observed in an unsecured cabinet under the sink. The box in which sharp instruments are stored is observed to be missing a lock. The door leading to the garage is also left open during the daytime in spite of the presence of cleaning supplies and detergent there. Caregiver indicates that it is being locked at night only. LPAs observed the facility has COVID-19 Precautions posters and required department postings. Hand washing signs however are not being displayed in the residents' bathrooms. Facility has an adequate supply of PPE and emergency supplies. A LIC808 Mitigation Plan has been submitted on 07/07/2021. LPAs observed a sufficient supply of food and water. A 30-day supply of medication is centrally stored under lock. LPAs observed medication cups with unpacked pills are being prepared for each meal and are not adequately marked to avoid medication administration errors. LPAs toured the outside of the facility. Outdoor furniture is present for the residents' enjoyment in the backyard. Construction is being completed on the patio shade with lumber and other building materials being stored on the ground in the backyard. Clutter and broken furniture are also observed in the yard and in the alley besides the house. The gates on the side of the house iareself-latching and can easily be opened in an evacuation. Based on the observations made during today’s visit, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. A Technical Advisory is also issued in regards to the presence of construction material and clutter in the backyard. This report was reviewed with facility representative and a copy of this report and appeals right was provided and left at facility.