Routine inspection·December 27, 2024

On December 27, 2024, at 8:00am, Licensing Program Analyst (LPA) Eboni Bentley conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Bentley was greeted and granted entry by Caregiver (CG) Glenda Awit who called Administrator (AD) Adela Albu by phone. AD Albu informed me that she was ill and would send House Manager (HM) Ciprian Albu to facilitate the tour in her place. HM Albu arrived at the facility around 8:30am and later, AD Adela Albu as well. AD Albu has a current certification posted with an expiration date of November 20, 2025. The facility is licensed to operate for six (6) non-ambulatory residents and has a hospice waiver for six (6) residents. The facility is a single-story structure located in a residential neighborhood. It consists of the following: six (6) resident bedrooms, (1) staff bedroom, four (4) bathrooms, living room area, dining area, kitchen, an outdoor seating area, and an attached two car garage. Around 9:00am, LPA Bentley toured inside and outside of the physical plant with HM Albu. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for each resident’s personal belongings was observed. The Resident’s rooms were inspected: Resident Room 1, Resident Room 2, Resident Room 3, and Resident Room 4, Resident Room 5 and Resident Room 6. Bathrooms were found to be clean and operational. The water temperature measured at 114.6 degrees F to 118.4 degrees F. A comfortable temperature of 74 degrees F was maintained in the facility. LPA Bentley observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is a two-day supply of perishable and seven-day supply of non-perishable food available and maintained properly. First aid kit is maintained and contains all the necessary elements. During the visit, LPA Bentley observed the facility's infection control practices, plan of operation, and visitors policy. The smoke detectors and carbon monoxide detectors were operable. A working telephone (714-630-5744) remains available, and the facility has a device that can be used for video teleconference purposes. Emergency water, and additional supplies were stored in the garage. The facility has one (1) fire extinguisher that was observed charged, mounted in the hallway, and serviced on March 8, 2024. Liability Insurance is effective May 23, 2024 and expires on May 23, 2025. LPA Bentley conducted an audit of six (6) resident files (R1-R6), four (4) staff files (S1-S4), and medication administration review. LPA Bentley conducted two (2) staff interviews and six (6) resident interviews. Based on observations made during today’s inspection, deficiencies were cited during the time of the visit per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and a copy of this report and appeal rights were provided to Licensee Adela Albu.