Routine inspection·July 25, 2024

This unannounced inspection is being conducted by Licensing Program Analysts (LPAs) Sean Haddad and William Vanegas for the purpose of conducting a Required – 1 Year Inspection. LPAs met with Staff #1 (S1) Christine Alfaro and discussed the purpose of the inspection. Administrator (AD) Claudia Olteanu appeared via telephone. LPAs reviewed Infection Control requirements. At about 2:15PM, LPAs and S1 conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, and garage and observed the following: Structure: facility is a 7-bedroom, 3-bathroom, one-story house with attached garage that is used for storage. There is a back yard with a patio cover for the residents. LPAs observed 4 staff and 4 residents present at the facility. Resident Bedrooms: the 6 resident bedrooms are spacious and will easily accommodate the residents’ furnishings. Furniture for each resident bedroom inspected. Staff Bedrooms: LPAs inspected the 1 staff bedroom. Bathrooms: the bathrooms were clean, faucets and toilets were operational. Water temperature: tested at 111 degrees F in the common resident bathroom and 107 in the private resident bathroom. Linens & Hygiene Supplies: new linens and fully stocked linen closets were observed. Emergency Phone Numbers, Exit Plan & Menu: reviewed. Food Service: LPAs observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food is available as required by regulations. Carbon Monoxide, Smoke Detectors, Fire Extinguisher: observed and tested. Appliances: stove burners, microwave, washer, and dryer inspected. Knives: observed locked in kitchen. Toxins: observed locked in the storage closet. Medication cabinet: observed to be locked. First-Aid Kit and Activity Supplies: observed and available. Facility’s licensing fees are paid. At about 3:00PM, LPAs reviewed 6 resident files and 4 staff files, interviewed 2 residents and 2 staff, inspected medications for 6 residents, and inspected resident money and ledgers for 6 residents. CONTINUED During the inspection, LPAs and S1 observed the following: based on documents and admission, the licensee corporation is suspended; and based on documents, the facility has been using Regional Center admission agreements and does not have their own admission agreement executed with any of the 6 residents. Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. See LIC809D. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative.