Routine inspection·May 10, 2024

Licensing Program Analysts (LPAs) Faith La and Dwayne Mason Jr. conducted an unannounced visit for the Required 1 Year Inspection. LPAs explained the purpose of today’s visit and were greeted and granted entry by the house manager Anthony Deguzman. The house manager Anthony Deguzman notified facility administrator (AD) Karmian Calangi about the visit, and AD Karmian Calangi came to facility shortly after. For today’s visit, LPAs observed a total of 6 residents in care and 3 staff members on duty. LPAs observed the Administrator's Certificate which expires on 06/20/2025 . LPAs observed the PUB475 “See Something Say Something” poster was located and posted at e ntrance. LPAs toured the interior and exterior portions of the facility with house manager Anthony Deguzman. The facility is a one level structure and is licensed for 6 non-ambulatory residents, of which 4 may be on hospice and 1 may be bedridden. For this visit, there are a total of 6 residents in care. There are a total of 7 bedrooms, of which 4 are private resident rooms, 1 is a shared resident room and 2 are private rooms for staff. LPAs toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Smoke and carbon monoxide detector and auditory exit alarms were tested and operational. There are a total of 3 restrooms of which 1 is for staff and 2 are for residents. Restrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Water temperature in 2 restrooms were measured to be at 124.1 and 124 degrees Fahrenheit. A deficiency is being issued. Staff lowered the water heater and measured at 119.4 and 120 degrees Fahrenheit. Facility met the minimum two-day perishable and seven-day non-perishable food supplies requirement. Sharp items and knives were located in cabinet in kitchen and were observed to be locked and inaccessible to residents in care. Fire extinguisher was charged, mounted and located in the kitchen, and the service date was March 05, 2020. A deficiency is being issued. LPAs observed the emergency disaster and evacuation plan, which is posted in the entrance. Facility had back-up emergency food and water supply, located in the hallway. LPAs observed that First Aid Kit had all the required components. LPAs observed that medications and toxins were locked and inaccessible to residents in care. For the exterior portion, LPAs observed patio furniture under shading, and the grounds were free of any hazards. There is 1 gate in the backyard, which was self-closing and self-latching. No bodies of water were observed. For today's visit two deficiencies were issued per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with AD Karmian Calangi. A copy of this report was provided and explained.