Routine inspection·December 2, 2024

Licensing Program Analyst (LPA) Michael Tea conducted an unannounced visit. The purpose of today’s visit was to conduct the Annual Required inspection. LPA Tea was greeted and granted entry into the facility by caregivers Tiburcia Dancel and Manuel Delvo and explained the reason for the visit. Administrator (AD) Marilou Leal arrived shortly to assist with the visit. Facility is licensed for four non-ambulatory residents, two ambulatory residents with a hospice waiver for one. Currently there are five residents. Around 1:29 PM, LPA Tea reviewed five resident files and two staff files. There were discrepancies noted in the review of resident and staff files. AD Leal administrator certificate expires on January 31, 2025. LPA Tea along with the Administrator toured the facility at 2:25 PM. LPA toured the physical plant, checked food service, and the first aid kit. The facility is a single-story home that consists of 5 resident bedrooms, 1 caregiver room, 3 bathrooms, living room, dining room, kitchen, and attached garage. LPA observed smoke detectors/carbon monoxide in common areas and bedrooms and are operational. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured around 119.6 F degrees. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards, doorways were free of obstructions. First aid kit had the required elements including bandages, thermometer, and scissors. The only item missing were the tweezers, which the AD Leal will purchase. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. LPA observed sharps are supposed to be locked in a kitchen cabinet but was not secured at the time of LPA’s observation during facility tour. Staff immediately locked up the sharps upon LPA’s discovery. LPA also observed toxin substances to be locked and inaccessible to clients in care locked and secured in cabinets in the garage. The fire extinguishers throughout the facility were fully charged. Kitchen appliances are operational during today's visit. Annual Inspection continued on LIC809-C LPA toured the outside grounds and there is ample seating with shade and two exit gates on both sides of the facility are self-latching and operational. There is a barbecue grill used during the summers. LPA observed emergency supplies, food and water in the garage. Facility provides activities based on resident interests. The residents goes for walks around the neighborhood, watch television, listen to music, reading books and newspapers and crafting bracelets and necklaces. They also go on outings, like shopping on Saturdays and church on Sunday and eat lunch together outside. At the time of annual visit, residents were seen crafting, reading newspapers and watching television in the living room. LPA reviewed medication storage and administration. Medications are stored in a locked cabinet. Medications are being administered per physician orders. All P&I Funds are accounted for and there are no discrepancies. LPA interviewed residents regarding their quality of care and spoke to staff present regarding care provided. The following deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with Administrator Marilou Leal and a copy of these reports were given to the facility along with a copy of the LIC 858; 859;809-D, 9102 and Appeal Rights.