Routine inspection·October 25, 2023

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA was greeted and granted entry by Staff Araceli Lee. LPA discussed the purpose of the inspection and was informed by Staff Lee that Administrator (AD) Adeline Moncerna was away on a trip and would not be available for today's inspection. During the inspection LPA and Staff Lee conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, garage and observed the following: This is a two-story house with three bedrooms, and two bathrooms on the first floor. The second story consists of two bedrooms and one bathroom and is utilized as staff quarters. Facility currently has a census of two. LPA observed one resident waiting to be picked up for day program. Per staff, the second resident had already been picked up for their day program. All resident bedrooms had the required furnishings. LPA observed all resident beds had linens and blankets. LPA observed all windows were screened. The back yard and front courtyard have a shaded sitting area. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed and posted. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguisher was observed to be fully charged. A disaster drill log was not available for review and staff present was unable to confirm the frequency of drills conducted; a deficiency was cited on today's date. Appliances were all inspected. Sharps were observed locked in a kitchen cabinet. Medication cabinet was observed to be locked. LPA reviewed two out of two resident files and two staff files. LPA observed AD does not have a current, unexpired AD certificate, and staff present was unable to confirm if AD had renewed their certificate or competed certification requirements; a deficiency was cited on this day. LPA interviewed staff and client present. (Cont. LIC809-C) Based on the observations made during today’s inspection, two deficiencies are being cited 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 was left at the facility.