Routine inspection·September 9, 2024

Licensing Program Analyst (LPAs) Claudia Gutierrez and William Vanegas made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA was greeted and granted entry by Staff Dolores Lacwasan. Administrator (AD) Cherry Aguila was contacted by phone and the purpose of the inspection was discussed. AD stated she would be unable to join LPAs for the visit and indicated Staff Lacwasan would be able to assist with the inspection. During the inspection, LPAs and Staff Lacwasan conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, garage and observed the following: This is a one-story home with four resident bedrooms, two bathrooms, and attached two-car garage. All resident bedrooms had the required furnishings. LPAs observed all resident beds had linens and blankets. LPA observed all windows were screened. The backyard has a shaded sitting area. LPAs observed residents watching television in the living room and resting in their respective bedrooms. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested at 138.3 degrees Fahrenheit; a Deficiency was cited on today’s date. LPAs observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Carbon monoxide detectors tested operational, and three of six smoke detectors tested operational; a Deficiency was cited on today’s date. Fire extinguisher was observed to be fully charged with service tag dated January 3, 2024. Gas stove, microwave, washer, and dryer were all inspected and observed to be operable. Toxic chemicals, cleaning solutions, and disinfectants were observed to be inaccessible to residents. Medication cabinet was observed to be locked. LPAs reviewed three of three resident files. Staff files for Staff Lacwasan and AD are not being maintained and were not available for review; a Deficiency was cited on today’s date. (Cont. LIC9099_C) One of three resident files is not being maintained; a Deficiency was cited on today’s date. Staff files did not contain any documentation for initial staff training or staff training conducted; a Deficiency was cited on today’s date. LPAs interviewed residents and staff present. AD arrived at 3:00 p.m. Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report and appeal rights was left at the facility.