Routine inspection·October 18, 2024

Licensing Program Analysts (LPAs) Samer Haddadin and Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPAs was greeted by Staff Romer Callado and granted entry into the facility. Administrator (AD) Romel Bisda arrived at approximately 10:45 a.m. and the purpose of the inspection was discussed. During the inspection LPAs and AD conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, garage and observed the following: This is a single-story house with five bedrooms, and two bathrooms, with one bedroom being occupied by staff. During the inspection LPAs observed three staff on duty and five residents in care. Residents were observed resting in their respective rooms and in the living room area. LPAs observed smoke detectors/carbon monoxide in common areas and bedrooms; all were operational. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. LPAs observed fire extinguisher mounted in kitchen area with last inspection date of on May 27 th ,2021. Upon review, fire drill log indicated that the last drill was conducted on March 21st, 2024. During inspection of the kitchen area, LPAs observed sharps, knives, and a pair of scissors in kitchen drawer to be unlocked and accessible to residents in care. 2-day supply of perishable and 7-day supply of non-perishable foods and water was not observed during today’s visit. Kitchen appliances were observed to be operational during today's visit Restrooms toilets and water faucets were also observed to be operational. Grab bars were secure, and showers were observed to be free of mold/mildew. Underneath the bathroom sink, LPAs observed a bottle of powder bleach (Comet) and a bottle of window cleaner (Windex) to be unlocked and accessible to residents. Water temperature measured between at 111.2 degrees Fahrenheit and 111.7 degrees Fahrenheit. LPAs and AD toured the backyard of the facility and observed there is no shaded seating area. LPAs also observed and took a picture of a discarded mattress, in the backyard, which had discoloration and dead insects attached to the mattress (CONTINUE LIC 809C). LPAs reviewed three residents’ files and observed three of three files do not have a current Needs and Services Plan. LPAs reviewed three staff files and observed three out of three staff files did not contain the 20-hour annual training. 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 were provided to AD at end of inspection.