Routine inspection·August 26, 2024

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to the facility today to conduct an Annual Required Evaluation. LPA was greeted and granted entry by Staff #1 at 8:30am. During today’s visit, LPA met with Mimi Romero, Licensee (LE). The facility is a single story building with an approved fire clearance of five non-ambulatory residents of which one may be bedridden and approved for a hospice waiver for four. The facility currently has a census of three residents in care with one on hospice. During today’s visit, LPA toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors, testing hot water temperature in two of two resident bathrooms, and testing auditory devices on all exits . The hot water temperature measured between 105.6 and 119.8 degrees Fahrenheit and all smoke detectors were operational . The fire extinguisher is charged and was serviced on August 9,2023. Licensee has an appointment for fire inspection to service fire extinguishers. The facility’s last fire drill was conducted on July 10, 2024 . LPA inspected the facility food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand . LPA observed medication storage and reviewed the centrally stored medications. Per review medications are being given as prescribed. LPA reviewed three of three staff training and fingerprint records. Staff require current First Aid/ CPR which Licensee will schedule. LPA conducted a complete review of resident records. LPA interviewed alert residents regarding their quality of care and spoke to staff present regarding care provided. LPA confirmed that administrator has a current administrator certificate which expires on August 1, 2025. (See LIC 809-C) (Continuation from LIC 809) The following deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with Mimi Romero and a copy of this report was given to the facility along with a copy of the LIC 9102-TV, LIC 858, LIC 859; LIC 809-D and Appeal Rights.