Routine inspection·August 15, 2022

Licensing Program Analyst (LPA) Edward Tapia made an unannounced required annual inspection at this facility. LPA met with staff Basilio Aquino and Maria Isabel Ewell and stated the purpose of this visit. Administrator Maria Mirabueno was unable to make the visit. The facility is a single level structure and licensed for six ambulatory of which six can be non-ambulatory with a hospice waiver for six. This facility is a Residential Care Facility for the Elderly/Dementia. At about 9:25 AM, LPA Tapia was granted entry after completing the Coronavirus 2019 (COVID 19) screening procedure. For this visit, LPA observed 5 residents in care and 2 staff members on duty. LPA toured the interior and exterior portions of the facility. There were 4 resident rooms 2 of which were able to be shared rooms. The facility also had a staff room which is inaccessible to residents. Resident rooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Manual smoke detectors, carbon monoxide and auditory exit alarms were tested to be operational. LPA noticed in room 3 paint needed to be retouched and staff was made aware of this issue. Bathroom (1) was observed to be in good repair and provided with grab bars and hot water was measured at 134.9 degrees Fahrenheit. LPA noticed that a light bulb needed to be replaced. Staff member stated it would be too bright for the residents and took off unused light bulbs. Bathroom (2) was observed to be in good repair and provided with grab bars and hot water was measured at 127.7 degrees Fahrenheit. LPA informed staff of the regulation for water temperature. Staff will adjust water temperature. Facility met the minimum two-day supply of perishable and seven-day supply of non-perishable food stock requirements, cleaning supplies and sharp items were inaccessible to residents in care. Facility had adequate supplies of personal protective equipment in place. Fire extinguisher was observed. For the exterior portion, facility had outside furniture in good repair; and grounds were free of tripping hazards. Garage is kept locked and is accessed from the staff room. Facility offers a 2-car garage which is used for storage with an operational washer and dryer and a truck. LPA Tapia reviewed the COVID 19 mitigation plan and the Emergency disaster plan of the facility. LPA discussed Assembly Bill 665 that requires a licensee of any adult care residential facility that has internet service to provide at least one internet access device, such as a computer, smart phone, tablet or other device, that: can support real-time interactive applications; is equipped with video conferencing technology, including microphone and camera functions; and is dedicated for client or resident use. For this visit, one deficiency was noted in areas observed. No citation was issued. An advisory was issued today. LPA Tapia conducted an exit interview with staff Basilio Aquino and copy of this report was explained and left at the facility.