Routine inspection·August 28, 2024

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA met with Administrator Arlene Fajardo and explained the reason for the visit. Arlene Fajardo's Administrator's Certificate expires on June 18, 2025. The facility is a two story home with 6 bedrooms (3 upstairs staff only, 3 downstairs residents only), kitchen, 2 bathrooms ( 1 upstairs and 1 downstairs) living room (with a screened fireplace), dining room, family room with a TV and a 2 car garage. LPA the Administrator and both staff present are background cleared and associated to the facility. LPA observed Resident 7, who resides at the facility, (R7) who is an adult relative of a staff member, not a staff member or volunteer, is not background cleared and not associated to the facility. LPA observed Resident 7 leave the facility. LPA and the Administrator toured the facility. LPA observed the fireplace in the living room is screened. LPA observed the See Something, Say Something Poster (PUB 475) is posted by the front door. The downstairs bathroom is for residents. LPA observed the bathroom is clean and operational. Hot water measured 123.2 degrees Fahrenheit. LPA observed the kitchen is clean and organized. Knives are kept locked in a kitchen drawer. LPA observed the 4 burner gas stove lights unassisted. LPA observed cleaning supplies are kept locked under the kitchen sink. Medications are kept locked in a kitchen cabinet. LPA toured the resident rooms. All resident rooms had the required furnishings and bed linens. LPA observed the fire extinguisher in the kitchen is fully charged. LPA observed a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. Smoke detectors/carbon monoxide detectors tested operational. LPA and the Administrator toured the backyard and garage. The garage is kept locked and used for storage of supplies and extra food. LPA observed a table with 4 chairs and an umbrella. There is a gated pool in the backyard. The gate is kept locked and inaccessible to residents. Both exit gates are operational. LPA reviewed staff files. LPA reviewed resident files and medications, LPA observed that 3 out of 4 residents did not have a current appraisal/needs and care plan (reappraisal). The Administrator reported they do conduct fire drills but there is no documentation to verify when the last fire drill was conducted. LPA inspected the first aid kit. The first aid kit did not have a first aid manual. LPA observed the facility has WiFi but does not have a internet device dedicated for resident use such as a laptop or tablet. The Administrator verified there is no laptop or tablet for residents. LPA interviewed staff and residents. Based on the observations made during today’s visit, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An immediate civil penalty was assessed today due to R7's lack of criminal record clearance or exemption. An exit interview was conducted with the facility Administrator and a copy of the report (LIC 809, LIC 809D) along with appeal rights was provided in addition to civil penalty assessment (LIC 421 BG) and civil penalty appeal rights.