Routine inspection·November 1, 2024

Licensing Program Analysts (LPAs) William Vanegas, Claudia Gutierrez, and Eboni Bentley made an unannounced visit for the purpose of conducting an Annual Inspection. LPAs were greeted and granted entry by Staff Charlita Ariola and explained the purpose of the inspection. LPA reviewed list of Guardian roster for facility and all staff members were associated to facility and background cleared. During the inspection, LPAs and Staff Ariola 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, one staff bedroom, three bathrooms, and attached two-car garage. All resident bedrooms had the required furnishings. LPA observed all resident beds had linens and blankets. LPA observed all windows were screened. The backyard has a shaded seating area. LPA 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 129.2-130.1 degrees Fahrenheit; a deficiency was cited on this 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. LPAs did not observe posting of PUB 475 anywhere in the facility; a deficiency was cited on this date. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguisher was observed to be fully charged. 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; LPA reviewed medication administration and storage. LPAs did not observe any recreational activities or items for resident use and Staff Ariola stated recreational activities are not currently offered to residents; a deficiency was cited on today’s date. LPAs reviewed four resident files. One resident of four resident files did not contain an updated physician’s report. Two of four resident files did not contain a reappraisal; a deficiency was cited on today’s date. Per physician’s report, two residents are bedridden, however fire clearance is approved for six non-ambulatory residents; a deficiency was cited on today’s date. LPAs reviewed two staff files and two of two files did not contain any documentation for initial staff training or staff training conducted in the past year staff was unable to provide LPA with a copy of staff training conducted; a Deficiency was cited on today’s date. A personnel file for Administrator was unavailable for review; a Deficiency was cited on today’s date. Emergency drill log, and the emergency disaster preparedness plan were not available for review and staff was unable to provide LPAs with a copy; a deficiency was cited on today’s date. LPA interviewed residents and staff. 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 immediate civil penalty is being assessed. See LIC421IM. An exit interview was conducted, and a copy of this report and appeal rights were left at the facility.