Routine inspection·January 7, 2025

On 01/07/2025 Licensing Program Analyst (LPA) William Vanegas made an unannounced visit for the purposes of annual visit. Upon arrival LPA Vanegas was greeted and granted entry to the facility by administrator (AD) Maria Garcia. LPA Vanegas explained the purpose of the visit and set up equipment once granted entry into the facility. LPA Vanegas conducted a tour of the facility and observed the following. This is a two storied home with seven bedrooms four of which are resident rooms, one of which is a staff room, and two of which are personal living quarters for licensee. This facility has four bathrooms two are resident bathrooms and two are for staff and visitors. The facility also has an attached two car garage. LPA Vanegas observed the kitchen to be clean and free of debris. LPA Vanegas observed a two day supply of perishable food and a seven day supply of non-perishable food with a sufficient amount of emergency water. LPA Vanegas observed a gas stove, microwave, dish washer, washer, and a dryer that were all tested and tested operational. Medications were observed to be centrally stored, locked, and inaccessible to residents in care. LPA Vanegas observed that there was no documentation that indicates the time and days that medications were being taken. Bubble packs were popped on different days making it unclear as to when the medications were taken or not. A deficiency was cited on today's date. LPA Vanegas observed smoke and carbon monoxide detectors to be operational, fire extinguisher was observed to be fully charged and up to date. LPA Vanegas observed resident bathrooms to be clean and free of debris and contained all required furnishings such as grab bars, slip resistant matts, and functional faucets and toilets. Water tested between 112.4- 114.8 degrees. CONTINUED ON LIC809C LPA Vanegas observed all resident rooms to be clean and sanitary and containing all required furnishings such as chest drawers, reading lamps, windows that are screened, a bed, a chair, storage space for personal belongings, and linens that are in good repair meaning no strains or tears. LPA Vanegas observed all the required postings to be posted however the PUB 475 posting was not the correct size a technical violation was given on today's date. LPA Vanegas reviewed five resident files and all resident files consisted of the required documents. LPA Vanegas also observed three staff records and one of the three staff records did not contain the required annual training a deficiency was cited on today's date. LPA Vanegas observed the backyard of the facility to be clean and consist of a seated area available to residents. LPA Vanegas observed the exit routes to be clean and free of debris. There are two exit routes that are not obstructed by any objects and the doors are self latching and unlocked. 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 left at the facility.