Routine inspection·May 30, 2025

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 Staff #1 at 8am. During today’s visit, LPA met with Concordia "Cora" Velasco, Licensee (LE). The facility is a single story home with four resident bedrooms, two live-in staff bedrooms and two bathrooms The facility has an approved fire clearance of six non-ambulatory with a hospice waiver for two residents. The facility currently has a census of four 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 two of two resident bathrooms, and testing auditory devices on all exits . The hot water temperature measured between 107.0 and 107.2 degrees Fahrenheit and all smoke detectors were operational . The fire extinguisher is charged and was serviced on February 26, 2024. The facility’s last fire drill was conducted two months ago but documentation was not on-file. 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 . There is an additional refrigerator and freezer filled with food. All kitchen appliances were in working order and LPA observed the washer and dryer; that are also operational. LPA observed medication storage and reviewed the centrally stored medications. Per review medications are being given as prescribed. (Continued on LIC 809-C) (Continued from LIC 809) LPA reviewed two of two staff training and fingerprint records and conducted a complete review of resident records. LPA observed one of four residents did not have a Medical Assessment. Two of three residents did not have bed rail orders on file. Deficiencies will be cited. LPA issued a Technical Violation (LIC 9102-TV) to request a visitor obtain fingerprinting. LPA interviewed alert residents regarding their quality of care and spoke to staff present regarding care provided. LPA confirmed that administrator, Chona Cruz, has a current administrator certificate which expires on January 24, 2027. Licensee, (LE) Cora Velasco will be obtaining her Administrator's Certificate. LPA spoke with LE regarding the Technical Support Program (TSP) and LE would like to participate. LPA will make the referral for TSP. The following deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with Cora Velasco, LE and a copy of this report was given to the facility along with a copy of the LIC 858, LIC 859; LIC 9102-TV, LIC 809-D and Appeal Rights.