Routine inspection·December 18, 2024

On December 18, 2024, at 8:30am, Licensing Program Analysts (LPAs) Eboni Bentley and Edward Kim accompanied by Licensing Program Manager (LPM) Lourdes Montoya, conducted an unannounced required 1-year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPAs Bentley and Kim were greeted and granted entry by Caregiver (CG) Rodica Cristea. Administrator (AD) Christina Stan arrived at the facility around 10:00am. The facility is licensed to operate for six (6) residents which can be one (1) ambulatory, (5) non-ambulatory, one (1) bedridden and have a hospice waiver for two (2) residents. This is a two-story structure located in a residential neighborhood and consists of the following: five (5) resident bedrooms, four (4) bathrooms, (1) staff bedroom, living room, dining area, kitchen, an outdoor area with covered seating, and an attached two car garage. LPAs Bentley and Kim toured inside and outside of the physical plant with AD Stan. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for each resident’s personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. The Resident’s rooms were inspected: Resident Room 1, Resident Room 2, Resident Room 3, and Resident Room 4. Bathrooms were found to be clean and operational. The water temperature was measured at 112.8 degrees F to 117.3 degrees F. A comfortable temperature of 74 degrees F was maintained in the facility. LPA Bentley observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is a two-day supply of perishable and seven-day supply of non-perishable food available and maintained properly. Emergency safety drills was last conducted on September 30, 2024 and conducted quarterly. First aid kit is maintained and contains all the necessary elements. During the visit, LPA Bentley observed the facility's infection control practices, plan of operation, and screening protocols for visitors, staff, and residents. The smoke detectors and carbon monoxide detectors were operable. A working telephone (714-833-5589) remains available, and the facility has a device that can be used for video teleconference purposes. Emergency food, emergency water, and emergency supplies were stored in the garage. The facility has one (1) fire extinguisher that was charged, mounted in the kitchen, and serviced on June 25, 2024. Liability Insurance is effective 3/4/2024 through 3/4/2025. LPA Bentley conducted an audit of five (5) resident files (R1-R5), three (3) staff files (S1-S3), and medication administration record review. LPA Kim conducted three (3) staff interview and three (3) resident interviews. 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 Administrator Christina Stan.