Routine inspection·November 18, 2024

Licensing Program Analysts (LPAs) Ruth Martinez and Nancy Guillen conducted an unannounced visit for the purpose of completing an annual required inspection. LPAs arrived at the facility and were greeted and granted entry by Julieta S. Lubugan. The Administrator Joey Encarnacion arrived shortly after and met with LPAs. There are six residents at the facility, four of which are currently in hospice. LPAs began the tour of the inside and outside of the facility. LPAs observed required department postings throughout the facility. Facility stays within the capacity limitations. There is a minimum of one week non-perishable foods and two days of perishable foods available. There is additional food storage in the pantry and additional food storage in the cabinet/freezer and refrigerator in the garage. The facility is maintained at a comfortable temperature. LPAs inspected that medication is centrally stored in a locked storage cabinet located in dining room. LPAs reviewed medication and observed medication was labeled and stored inaccessible to residents in care. LPAs inspected the bathroom and LPAs measured the hot water temperature which measured 118.2 degrees Fahrenheit. All bathrooms observed to have a supply of soap, toilet paper and towels. Bathrooms are equipped with required safety measures such as non-skid mats and grab bars. Lighting is sufficient to ensure safety and comfort. The facility is equipped with sufficient hand hygiene, cleaning, and disinfecting supplies. LPAs observed that toxic chemicals, cleaning solutions and disinfectants are stored locked in a storage cabinet in the garage. The facility has an available clean supply of linens. LPAs inspected residents’ bedrooms which have sufficient lighting to ensure the safety and comfort. All bedrooms observed to have all required components. Storage space is provided for residents in their bedroom. Smoke detectors were tested and found to be operational. LPAs toured the outside of the facility and observed outdoor passageways are free of obstructions. LPAs observed there are shaded seating areas for residents’ enjoyment. Continued on LI 809-C LPAs observed a fire extinguisher with service date September 26 th , 2024, in the dinning room and garage. Fire drills are conducted quarterly with the last one being done on October 14 th , 2024. LPAs began review of records. LPAs reviewed three resident records. All the required documentation was present and current in the residents’ files reviewed. LPAs reviewed two employee records. All employees present have a criminal record clearance and are associated to the facility. LPAs observed records reviewed had a current First Aid certificate. Based on the observations made during today’s visit, no deficiencies were noted today in the areas inspected per Title 22 Division 6 of the California Code of Regulations. This report was reviewed with the Administrator and a copy of this report was provided to the facility.