Routine inspection·August 25, 2022

Licensing Program Analyst (LPA) Edward Tapia made an unannounced required annual inspection at this facility. LPA met with staff Rosallie” Sally” Gabriel and Francisco “Gaby” Gabriel and stated the purpose of this visit. Administrator Juhayna Diaz arrived during the visit and provided assistance. The facility is a two-story structure and licensed for six non-ambulatory residents with a hospice wavier for five. This facility offers Residential Care for the Elderly/Hospice. At about 9:20 AM, LPA Tapia was granted entry after completing the Coronavirus 2019 (COVID 19) screening procedure. For this visit, LPA observed six residents in care and two staff members on duty. LPA toured the interior and exterior portions of the facility. There were two shared resident rooms and two private resident rooms. The second floor is for staff only and contains an office and staff 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. Bathroom (1) was observed to be in good repair and hot water was measured at 116.9 degrees Fahrenheit. Facility met the minimum two-day supply of perishable and seven-day supply of non-perishable food stock requirements. Cleaning supplies and sharp items were inaccessible to residents in care. 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; LPA did notice a plant in the center of the walkaway towards the back gate. Staff was made aware of this and immediately removed plant. LPA also notice a palate and large wooden stick in the backyard that was not obstructing any pathway. Administrator informed LPA that they had just moved some furniture and will be removing palate and large stick from the premises. LPA also informed Administrator of apparent rust on backyard gate. Facility offers a 4-car garage mainly used as storage with operational washers/dryer. Garage also contained 2 cars. Medications and toxins where locked and kept away from residents. Kitchen was in good repair. Administrator did make LPA aware of clicker on stove not working properly and will have maintenance come in next week to fix the issue. LPA made Administrator aware of late annual fees. Administrator paid annual fee online and received a confirmation number. 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, no deficiency was noted in areas observed and two advisories were issued. LPA Tapia conducted an exit interview with Administrator Juhayna Diaz and copy of this report was explained and left at the facility.