Routine inspection·February 7, 2025

Licensing Program Analyst (LPA) Nancy Guillen made an unannounced visit for the purpose of conducting a required annual Inspection. LPA was greeted and granted entry by caregiver Marlou Babanta after explaining the purpose of the visit. Administrator (AD) Heather Edginton was notified via telephone and later arrived to assist with the visit. LPA observed the Administrator certificate was current and expires February 23, 2025. This is a Residential Care Facility for the Elderly (RCFE) licensed to six non-ambulatory residents, of which one may be bedridden, with a hospice waiver for six. The facility is a one story home with four resident bedrooms, one staff bedroom, bathroom, half bath, living room, dinning room, kitchen, and an attached garage. During the inspection, LPA and caregiver Lady Manieda conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, garage and observed the following: LPA observed four residents in care and three staff present. Residents were sleeping in their respective bedrooms and living room after breakfast. LPA observed the See Something Say Something Poster (PUB 475) mounted on the wall by the entry way, however poster is not the correct size; a technical violation was issued on today’s date. All resident bedrooms had the required furnishings. LPA observed all resident beds had linens and blankets with additional linens stored in the hallway. LPA observed bathrooms were clean and equipped with grab bars and non-skid floor mats. LPA observed all windows were appropriately screened. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested between 105.8 and 113.4 degrees Fahrenheit. LPA toured the outside of the facility and observed outdoor passageways were free of obstruction. LPA observed the backyard had a shaded sitting area with furniture for resident use. Continued on LIC 809C LPA observed the facility had a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. LPA observed four spices to be expired; a technical violation was issued on today’s date. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguisher was observed to be fully charged and located in the dining room. Gas stove, microwave, washer, and dryer were all inspected and observed to be operable. The garage is used for storage which is kept locked and inaccessible to residents. Toxic chemicals, cleaning solutions, and disinfectants were observed to be locked and inaccessible to residents in the garage and under the kitchen sink. Medication cabinet was observed to be locked and centrally stored in the kitchen. LPA observed the First Aid Kit had all the required components. Through staff interviews and document review LPA observed the facility has not conducted any emergency disaster drills; a deficiency was cited on today’s date. Per document review LPA observed the Emergency Plan is not being reviewed annually a technical violation was issued on todays date. While waiting for the AD, LPA began review of the records. LPA Guillen reviewed four resident records. All the required documentation were present and current in the residents’ files reviewed. LPA reviewed four employee files. All employee’s present have a criminal record clearance and were associated to the facility, however no staff training has been done within the last year; a deficiency was issued on today’s date. 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 was left at the facility.