Routine inspection·March 11, 2025

Licensing Program Analyst (LPA) Nancy Guillen made an unannounced visit for the purpose of conducting a required annual Inspection. LPA was greeted and granted entry by caregiver Maria Praedes after explaining the purpose of the visit. Administrator (AD) Yaninee Asawadilokchai was notified via telephone and later arrived to assist with the inspection. LPA observed the Administrator certificate was current and expires October 23, 2025. This is a Residential Care Facility for the Elderly (RCFE) licensed to six non-ambulatory residents, of which one may be bedridden, with a hospice waiver for three. The facility is a two story home with the first floor consisting of four resident bedrooms, two resident bathrooms, a kitchen, living room and an attached garage. The second floor consists of one staff bedroom and bathroom. While waiting for the AD, LPA began review of the records. LPA reviewed three resident records. All the required documentation were present and current in the residents’ files reviewed. LPA reviewed three employee records. All employee’s present have a criminal record clearance and were associated to the facility. LPA observed records reviewed have a current First Aid certificate. During the inspection, LPA and AD conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, garage and observed the following: LPA observed residents watching television in the living room and resting in their respective bedrooms. LPA observed three residents in care and three staff present. LPA observed the See Something Say Something Poster (PUB 475) mounted on the wall by the entry way. All resident bedrooms had the required furnishings, however two resident’s had hospital beds with ½ bed rails without a doctors order; a deficiency was cited on today’s date. LPA observed all resident beds had linens and blankets with additional linens stored in the hallway storage closet. LIC 809C LPA observed bathrooms were clean and equipped with grab bars and non skid floor mats. LPA observed all windows were appropriately screened. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested between 119.4 and 119.8 degrees Fahrenheit. LPA toured the outside of the facility and observed outdoor passageways were free of obstruction. LPA observed the backyard had furniture for resident use. LPA observed a swimming pool with a fence around it with a self latching door inaccessible to residents in care. LPA observed the facility had a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguisher was observed to be fully charged and located by the garage entrance. Gas stove, microwave, washer, and dryer were all inspected and observed to be operable. Toxic chemicals, cleaning solutions, and disinfectants were observed to be locked and inaccessible to residents in garage and inaccessible to residents in care. Medication cabinet was observed to be locked and centrally stored in the kitchen however, Senna was being administered to resident without a doctors order; a deficiency was cited on today's date. LPA observed the First Aid Kit had all the required components with the exception of the first aid manual; a Technical Violation was issued on today’s date. LPA observed the facility is not conducting quarterly disaster drills; a deficiency was cited on today’s date. 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.