Routine inspection·October 23, 2024

Licensing Program Analysts(LPAs) Joseph Alejandre, Nancy Guillen and Brandon Lopez made an unannounced visit to conduct the required annual inspection. LPAs were greeted and granted entry. LPAs met with Administrator Dianna Manalo. LPAs and the Administrator toured the facility. Facility is a single story home with 5 bedrooms, 2 bathrooms, family room with a TV, dining room, and a kitchen. Facility has a capacity of 6 non-ambulatory residents of which 1 may be bedridden and a hospice waiver for 4. LPAs observed a 2 day perishable and 7 day non-perishable food supply on hand in the kitchen. LPAs observed the knives are kept under the sink which is locked. LPAs observed expired shelf stable food in the kitchen cupboard. Staff discarded all the expired food. LPAs observed 2 insects in the kitchen. LPAs observed the refrigerator lining on the inside of the refrigerator is cracked. LPAs observed medications are kept locked in the hall closet. LPAs inspected both bathrooms. Both bathrooms are clean and operational. Hot water measured 106.5 to 106.8 degrees Fahrenheit. LPAs and the Administrator inspected the resident rooms. LPAS observed that in bedroom 1 and bedroom 5 both residents had bed rails. LPAs verified that the residents in bedroom 1 and 5 had orders for bed rails. All bedrooms had the required furniture and linens. LPAs and Administrator toured the garage. The garage is kept locked and used for storage. The garage stores extra food, supplies, and furniture. LPAs and Administrator toured the backyard. The backyard is a deck. No bodies of water observed in the backyard. There is a shaded seating area with a table and chairs for residents to sit outside. The exit gate on the South side of the house is operational. LPAs observed the pathway to the North side of the house had a table, tools, wooden box, and propane tanks. The North side exit gate is operational. Smoke detectors/carbon monoxide detectors tested operational. There is no record of an emergency disaster drill being conducted. LPAs reviewed 6 resident records. No discrepancies observed. LPAs reviewed resident medications. Resident 2 (R2) was missing PRN medication Acetaminophen 325 mg. No other discrepancies observed. LPAs reviewed 2 staff files. Both staff members are background cleared and associated to the facility. Both staff members had the required training. LPAs inspected the First Aid Kit. The first aid kit is missing a complete First Aid Manual, all other elements were present. Deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. A copy of the report along with the Appeal of Rights was provided. An exit interview was conducted with the Administrator.