Routine inspection·December 15, 2022

On 12/15/2022, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility in order to conduct a required annual inspection. LPA was greeted and granted entry by Jose Barros, caregiver after explaining the purpose of the visit. Administrator Mel Amante and Noel Gutierrez were notified of the visit by telephone and arrived shortly afterwards to assist with the visit. LPA accompanied by caregiver toured the physical plant of the facility. There are currently six (6) residents in care, including one resident currently in the hospital. Residents present are observed relaxing in their respective bedrooms or in the common areas and appear clean and well taken care of. Bedrooms are all equipped with the required elements of furnishing. The bathrooms are equipped with grab bars and slip mats. An ample supply of linen is observed. Facility is observed to be clean, sanitary and free of odors in all areas inspected. Sharp instruments are kept secured in a kitchen drawer equipped with a functioning lock. Cleaning supplies are stored under the kitchen sink secured by a padlock. The centrally stored medication is located in a cabinet with a key lock that is observed to be functional. Sound alarms are noted to be present on each route of egress and observed to be functional. LPA observed a sufficient supply of food and water present. The fire extinguisher present is charged and mounted with a current maintenance tag. Staff members present are adequately cleared and associated in Guardian. Administrator certificate on display is shown to be current. CONTINUED ON FORM LIC809-C CONTINUED FROM FORM LIC809 LPA and caregiver toured the outside of the facility. Outdoor furniture and a shaded area are present in the backyard for the enjoyment of residents and visitors. The perimeter gates on both sides of the house can easily be opened in case of an evacuation. Plywood board is observed across the route leading out on the right side of the house, but was removed by staff when pointed out. There are no bodies of water on the premises. The laundry area is located next to one of the bathrooms. Laundry detergent is stored in a locked cabinet equipped with a padlock. However, two bottle of laundry products are observed in an adjacent cabinet which is unsecured. Staff relocated the detergent in the appropriately secured cabinet during the visit. Based on the observations made during today’s visit, one deficiency are being cited per Title 22 Division 6 of the California Code of Regulations. Two Technical Advisory notes are also being issued during the visit. This report was reviewed with facility representative and a copy of this report along with appeal rights was provided and left at facility.