Routine inspection·October 13, 2022

Licensing Program Analyst (LPA) Edward Tapia made an unannounced required annual inspection at this facility. LPA met with staff and stated the purpose of this visit. Administrator Florence Tolentino arrived during the inspection. The facility is a single level structure and licensed for five non-ambulatory residents with a hospice waiver for four. One may be bedridden. This facility is a Residential Care Facility for the Elderly. At about 1:41 pm, LPA Tapia was granted entry after completing the Coronavirus 2019 (COVID 19) screening procedure. For this visit, LPA observed 5 residents in care and 2 staff members on duty. LPA toured the interior and exterior portions of the facility. There were 4 resident rooms, 2 of which were shared rooms. Resident rooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Manual smoke detectors, carbon monoxide and auditory exit alarms were tested to be operational. Bathrooms were observed to be in good repair and provided with grab bars and hot water was measured between 107.6 degrees Fahrenheit. LPA noticed cleaning supplies in bathroom. Staff immediately removed cleaning supplies from bathroom. Facility met the minimum two-day supply of perishable and seven-day supply of non-perishable food stock requirements. Facility had adequate supplies of personal protective equipment in place. Fire extinguisher was observed. For the exterior portion, facility had outside furniture in good repair; and grounds were free of tripping hazards. Backyard contained a swimming pool with a locked gate surrounding the pool. Facility offers a 2-car garage which is used for storage, an extra refrigerator and an operational washer/dryer. LPA Tapia reviewed the COVID 19 mitigation plan and the Emergency disaster plan of the facility. LPA discussed Assembly Bill 665 that requires a licensee of any adult care residential facility that has internet service to provide at least one internet access device, such as a computer, smart phone, tablet or other device, that: can support real-time interactive applications; is equipped with video conferencing technology, including microphone and camera functions; and is dedicated for client or resident use. For this visit, One deficiency was noted in areas observed. One advisory was issued today. LPA Tapia conducted an exit interview with Administrator Florence Tolentino and a copy of this report was explained and left at the facility.