Routine inspection·July 22, 2024

On 7/22/2024, Licensing Program Analyst (LPA) Janette Romero conducted an unannounced visit to the facility for a required annual inspection. LPA met with Caregiver, Marissa Acerbo who was informed of the purpose of the visit. Licensee, Maria Go was contacted over-the-phone and informed of the purpose of LPA's visit. The facility has a fire clearance for six (6) non-ambulatory elderly residents and an approved hospice waiver for three (3). During today's visit, there was two (2) staff and four (4) residents present. LPA toured the facility with Caregiver Acerbo. During the tour, LPA observed the facility is made up of a two-story home with four (4) resident bedrooms, three (3) bathrooms, two (2) staff rooms, a kitchen, dining room, office and attached garage. Indoor and outdoor passageways were free of obstruction. The facility has outdoor shaded seating available for the residents in care. No bodies of water were observed on the premises. Resident bedrooms had the required furniture and lighting. Bathrooms had grab bars near the toilet and in the shower along with non-skid mats. LPA toured the kitchen and observed food is stored in a safe and healthful manner. The facility had more than a 2-day supply of perishable foods and 7-day supply of non-perishable food items. Caregiver Acerbo tested one (1) of the smoke alarms/carbon monoxide detectors and LPA observed it to be operational. LPA also observed charged fire extinguishers mounted throughout the facility, serviced on 6/13/2024. LPA reviewed random staff and resident files. Resident files reviewed had signed admission agreements and updated physician reports. Staff present have a criminal record clearance and valid first aid/CPR certification. Medications are secured in a locked cabinet in the office. LPA reviewed the physical medications for two (2) residents along with their Medication Administration Record. During review of the MAR, LPA discovered facility staff initialed the column for 7/23/2024, documenting as if they administered medication for tomorrow. Caregiver Acerbo showed LPA the facility transfers the residents' medications into a weekly pill organizer, only labeled with each of the residents' names. The facility will be cited pursuant to California Code of Regulations, Title 22. An exit interview was conducted where this report was reviewed and provided to Caregiver Acerbo along with LIC 809-D and Appeal Rights.