Routine inspection·October 21, 2022

On 10/21/2022 at 12:52pm, Licensing Program Analyst (LPA) Jessica Cho arrived at Sunny Hills Homes to conduct an unannounced visit. The purpose of today's visit was to conduct a Required 1 Year with an emphasis on Infection Control. At 12:56pm, LPA Cho was greeted and granted entry by Licensee/Administrator (Admin) Maria Moya. LPA completed the Coronavirus 2019 (COVID-19) screening procedure and also met with Licensee/Co-Administrator (Admin) Nestor Moya. There are no active COVID-19 cases as of today. Facility does not document daily temperatures of visitors on a sign in sheet. COVID-19 symptom checks are conducted and documented daily for residents and staff. LPA observed the required COVID-19 precautionary signs posted on the front entrance and in the entryway. The Complaint Poster (PUB475) did not meet the size requirement. The facility is licensed for five non-ambulatory residents and has a hospice waiver for four. There are currently four residents living in the facility of which none are receiving hospice care. At 10:19am, LPA Cho conducted a tour of the physical plant with Licensee/Administrator Maria Moya. The two-story home consists of three resident bedrooms and two resident bathrooms. The Licensees/Administrators live on the second floor of the facility and occupy three bedrooms. The facility also has a living room, kitchen, and garage with laundry. LPA inspected the resident bedrooms. The resident bedrooms had the required furnishings. LPA observed Ring motion-detector cameras in each of the three resident bedrooms. Per Admin, the cameras were not connected but is only utilized in the evenings. LPA verified that the cameras were not in use at initial inspection. Admin indicated that audio is present and has microphone capabilities to communicate with residents. After an extensive consultation, Licensees/Administrators expressed of wanting to continue using the cameras in the resident bedrooms in the evenings and has agreed to submit a waiver to the Department. The resident bathrooms were checked. Grab bars were secure, the toilets worked properly, the showers were free of mold/mildew, and non-skid mats were in place. Resident bath towels and personal hygiene supplies were adequately stocked including paper towels and hand soaps. LPA observed hand washing signs in the bathrooms. LPA Cho tested the hot water temperatures and the water temperatures measured at 118.7 degree Fahrenheit in Bathroom #1 and 118.2 degree Fahrenheit in Bathroom #2. LPA Cho inspected the kitchen. Perishable and non-perishable food supplies were checked and adequately stocked at the time of the visit. The fire extinguishers were mounted, fully charged, and serviced on 10/21/2022. Smoke/carbon monoxide detectors and auditory devices were tested and operational. Medications, toxins, and sharps were locked and inaccessible to the residents. LPA Cho toured the outside grounds. No body of water was present. There was shading and sufficient seating for residents. Walkways around the home were clear of hazards, and there were no security bars or weapons on the premises. The exit gate was self-closing and self-latching. LPA observed sufficient supply of emergency food/water and PPEs. Based on the observations made during today's visit, a deficiency is cited in this review as per Title 22 Division 6 of the California Code of Regulations. Advisory Notes (LIC9102s) were issued during the visit. An exit interview was conducted with Administrator Maria Moya, and a copy of this report (along with LIC809, LIC809C, LIC809D, LIC811 and the appeal rights) were provided to Administrator Maria Nestor via email due to insufficient toner.