Routine inspection·October 24, 2024

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA was greeted and granted entry by staff. The Administrator, Rico Mico's Administrator's Certificate expires on March 26, 2026. LPA met with Assistant Administrator, Virgilio Delantar who's Administrator's Certificate expires on 10/18/2025. LPA explained the reason for the visit. LPA observed the facility is a two-story house with 5 resident bedrooms on the first floor, 3 bathrooms, living room, dining room and kitchen. The second floor is one room with a closet. A file review shows the fire clearance and facility sketch which was approved on September 9, 2020 does not have the second floor with the one room and closet. The facility does not have a current valid fire clearance. LPA observed the See Something, Say Something poster (PUB 475) posted in the entry way of the facility. LPA observed all 3 bathrooms are clean and operational. Hot water measured 111.9 degrees Fahrenheit. LPA observed all resident rooms had the required furnishings and bed linens. Smoke detectors and carbon monoxide detectors tested operational. LPA and the Administrator toured the kitchen. LPA observed a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. LPA observed the 5 burner gas stove does not light unassisted. LPA observed food debris on the stove and the top of the stove has grease stains. Administrator Rico Mico arrived during the visit. LPA and the Administrator toured the resident rooms. LPA observed all resident rooms have the required furnishings and bed linens. LPA observed the fireplace in the dining room has a glass door and there is a table placed right in front of the fireplace blocking access. LPA and Administrator toured the backyard. No bodies of water observed. There is a table with an umbrella and chairs to sit outside. LPA observed numerous items stored on the side of the house which has the exit gate. The exit gate is operational. LPA observed, ladders, chairs, bicycles, tools, buckets, walkers, commodes and empty containers stored on the side of the house with the exit gate. There is no record of a current fire drill. LPA reviewed 5 resident files. 5 out of 5 residents did not have a pre-appraisal conducted. 3 out of 5 residents did (Residents 1, 2 and 4) not have a current appraisal/needs and care plan. LPA and the Administrator toured the garage. The garage has a storage which is on the facility sketch. The storage room is used to store furniture. LPA observed a 72 hour emergency food and water supply in the garage. The garage is used to store extra supplies and is kept locked. LPA reviewed 3 staff files. 2 out of 3 staff did not have a health screening. 2 out of 3 staff members (Staff 2 and Staff 3) did not have the required annual training. All staff are background cleared and associated to the facility. Staff did have CPR training. Deficiencies are being cited per Title 22, Division 6 of the California Code of Regulations. A copy of the report along with appeal rights was provided to the Facility Administrator. An exit interview was conducted with Administrator.