Routine inspection·December 20, 2024

Licensing Program Analysts (LPAs) Alvaro Ramirez, Jr. and Brandon Lopez conducted an unannounced visit for the Required 1 Year Inspection. LPAs explained the purpose of today’s visit, and were greeted and granted entry by Caregiver Isabel Rosales. Administrator (AD) Rosa Figueroa arrived shortly after. For today’s visit, LPA observed a total of six residents in care and two staff members on duty. During today's visit LPAs observed the AD certificate for AD Rosa Figueroa which expires on September 08, 2025. LPAs toured the interior and exterior portions of the facility with AD Figueroa. The facility is a one story structure and is licensed for six non-ambulatory residents, of which four may be on hospice and zero bedridden. There are a total of five bedrooms, of which five are resident bedrooms. LPAs toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Smoke and carbon monoxide detector and auditory exit alarms were tested and operational. There are a total of four restrooms. Restrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Water temperature tested between 110.4-112.6 degrees Fahrenheit. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked and inaccessible to residents in care. Fire extinguishers were charged and one was located by the dining room, one in the activities/sun room and one in the garage. During today's visit LPAs observed as the residents were eating chicken, salad and spaghetti for lunch. CONTINUED ON LIC809-C... LPAs observed the emergency disaster and evacuation plan which is located by the dining room. Facility had back-up emergency food and water supply. LPAs observed that First Aid Kit had all the required components. LPAs observed that medications and toxins were locked and inaccessible to residents in care. The medication is locked in a closet by the residents' bedroom hallway. The toxins are locked in the garage. For the exterior portion, LPAs observed a shaded area, patio furniture, and the grounds were free of any hazards. There are two gates in the backyard. No bodies of water were observed. LPAs reviewed six resident files and three staff files. Two of six resident files did not include a pre-admission appraisal; a Deficiency was issued today. LPAs interviewed residents and staff present. For today's visit one deficiency was issued per Title 22 Division 6 of the California Code of Regulations. LPA advised AD Figueroa to use the general email address: CCLASCPOrangeCountyRO@dss.ca.gov for any inquiries and to specify attention to the assigned LPA. An exit interview was conducted with AD Figueroa. A copy of this report and Appeal Rights were provided at the time of exit.