Routine inspection·March 20, 2025

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA was greeted and granted entry by staff. LPA met with Administrator Julieta Milo explained the reason for the visit. Her Administrator's certificate expires on July 3, 2025. Michael Milo's Administrator's certificate expires on September 6, 2025. Facility is a one story home with 8 bedrooms, living room, 7 bathrooms, kitchen, dining room and a two car garage that is kept locked and used for storage. Facility is licensed for 6 non-ambulatory residents. LPA and Administrator Julieta Milo toured the facility. LPA observed the See Something Say Something Sign posted in the entry way of the facility. There is a fountain in the front courtyard. Two rooms are for staff. LPA observed all resident rooms had the required furnishings. LPA observed all bathrooms were clean and operational. Hot water in the bathrooms measured 116.7 degrees Fahrenheit. LPA observed the kitchen is clean and organized. LPA observed the medications are kept locked in a kitchen cabinet. There is a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. Knives are kept locked under the kitchen sink. LPA observed the laundry room is kept locked. The laundry room is used to store cleaning supplies. LPA and Administrator toured the backyard and garage. The garage is kept locked and used to store extra supplies, food and furniture. There is a small fountain in the backyard. The backyard connects to the front yard on the west side of the house. The side walk way on the east side of the house connects to the driveway. LPA observed bicycles, a wood pallet, a hoyer lift and brooms stored on the east side of the house on the walk way. The front yard is fenced and has a gate. There is a sitting area with a table and chairs in the front court yard.. LPA observed all fire extinguishers are fully charged. Carbon monoxide and smoke detectors tested operational. The last fire drill was conducted on December 25, 2024. LPA inspected the first aid kit. The first aid kit had all the required elements. Facility has an internet device (Tablet) for dedicated resident use. LPA reviewed 4 resident files. LPA observed resident 1 (R1) is bedridden according to their most recent physician's report. No discrepancies observed in the resident files. LPA reviewed 2 staff files, LPA observed Staff 1 and 2 only had 18 hours of annual training. Both staff members had CPR training. During the visit residents participated in bingo. LPA consulted with the Administrator concerning reporting requirements. Based on the observations made during today’s visit deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. This report was discussed with the facility representative and a copy was provided. An exit interview was conducted and a copy of the report was provided along with citations and appeal rights. Administrator refused to sign the report (LIC 809 & LIC 809Ds).