Routine inspection·April 18, 2025

Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility for the purpose of conducting the required annual inspection. LPA was greeted and granted entry by Administrator (AD) Vladimir Velez and Administrator (AD) Sonia Velez after explaining the purpose for the visit. LPA observed Administrator Vladimir Velez has a valid Administrator certificate which expires on January 9, 2026. The facility is a Residential Care Facility for the Elderly (RCFE) licensed for six non-ambulatory residents, of which one may be bedridden, and has a hospice waiver for six. The facility is a single story home with four residents bedrooms, one of which is shared, four bathrooms, a break room/staff room, a living room, a dining room, a kitchen, a TV room, a business office, and an attached two car garage. LPA accompanied by the AD, conducted a tour of the interior portion of the facility. On today's visit, LPA observed three residents in care, two of which are on hospice, and two staff present. LPA observed residents relaxing in their respective bedrooms. LPA observed the See Something, Say Something poster (PUB 475) mounted on the wall by the kitchen. LPA inspected the four residents bedrooms which were observed to be free of hazards. LPA observed residents bedrooms to have the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPA observed residents beds to have clean linens and blankets. LPA observed additional linens to be stored in a hallway closet. LPA observed each auditory exit alarm to be operational. LPA inspected the four bathrooms and they were observed to be clean. LPA observed bathrooms to be equipped with grab bars and nonskid floor mats. Faucets and toilets were operational. Hot water temperature measured between 116.2 and 116.6 degrees Fahrenheit. LPA observed the kitchen has a two day perishable and a seven day nonperishable food supply on hand. LPA observed kitchen appliances to be clean and operational. CONTINUED ON 809-C. LPA observed the four burner gas stove lights unassisted. LPA observed kitchen knives and sharps to be stored in a locked kitchen cabinet. LPA observed chemicals and toxins to be stored in a locked kitchen cabinet under the sink. LPA observed fire extinguishers to be mounted on the wall by the kitchen and in the business office. Fire extinguishers were observed to be charged and serviced as of January 31, 2025. LPA tested the individual smoke detectors and carbon monoxide detectors which tested operational. LPA observed the facility conducted their last emergency disaster drill on April 6, 2025. LPA observed the centrally stored medication to be kept in a locked medicine cart in the living room. LPA observed a First Aid Kit to be stored near the kitchen and it had all the required components. LPA observed laundry machines and chemicals to be stored in a locked closet in the break room/staff room. LPA observed a fire place in the living room and it was observed to be adequately fenced and not in operation at time of visit. LPA observed the door leading to the attached two car garage to be kept locked and inaccessible to residents in care. LPA observed the garage to be used for storage. LPA observed the facility has a three day emergency food and water supply to be stored in the garage. LPA, accompanied by the AD conducted a tour of the exterior portion of the facility. The exterior portion was observed to be free of hazards and obstructions. LPA observed a shaded outdoor seating area with furniture for resident use. LPA observed the perimeter gates on the north side and southside of the facility to be self latching and can be opened in an evacuation. LPA observed a pool located in the backyard which was observed to be adequately fenced and locked for resident safety. LPA reviewed all three resident files. All the required documentation were present and current in the resident files reviewed. LPA reviewed all three residents' medication and medication records. LPA reviewed six staff files. All staff are background cleared and associated to the facility. Based on the observations made during today's visit, no deficiencies are being cited per the Title 22 of the California Code of Regulations. An exit interview was conducted with Administrators Vladimir Velez and Sonia Velez and a copy of the report was provided.