Routine inspection·February 15, 2022

Licensing Program Analyst (LPA) Patricia Velazquez conducted an unannounced visit to Tessa's Place 3. The purpose of today's visit was to conduct a Required 1 Year inspection. LPA Velazquez was allowed entry into the facility and initially met with Caregiver Maria Magdalena Eguico. Administrator (AD) Mark Cruz arrived shortly after LPA's arrival. The facility is licensed for 6 non-ambulatory residents. The facility also has an approved hospice waiver for 6 residents. There are currently 5 residents living in the facility. The last emergency disaster drill was conducted on January 31, 2022. At 9:20 AM LPA Velazquez conducted a tour of the physical plant along with Caregiver Eguico and then with AD Cruz. The 1 story home consists of 4 resident bedrooms and 1 staff bedroom with 3 bathrooms. LPA observed several cameras throughout the facility in the common areas. AD indicated the cameras were approved when the facility was initially licensed. The 5 residents in the facility appeared well-groomed and well cared-for. The resident bedrooms had the required furnishings, bed linens, and closet/drawer space to accommodate each resident comfortably. LPA Velazquez observed bed rails on the beds of some of the residents. LPA was informed that these residents were receiving hospice services. Resident bath towels and personal hygiene supplies were adequately stocked. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, showers were free of mold/mildew and a non-skid surface or mat was in place. LPA Velazquez tested the hot water temperature in the resident bathrooms and the temperature ranged from 120.2 to 127.4 degrees Fahrenheit. LPA immediately notified AD so that the temperature could be lowered. AD proceeded to call his maintenance staff. LPA Velazquez inspected the kitchen with AD Cruz. Perishable and non-perishable food supply was checked and adequately stocked at the time of the visit. The fire extinguisher was fully charged. The smoke and carbon monoxide detectors were tested and found to be operational. Toxins, sharps, and medications were locked and inaccessible to residents. First aid kit was checked and found to be in order. The facility did not have a First Aid manual and advised to obtain one. AD Cruz ordered a First Aid manual and provided LPA Velazquez with proof of purchase. LPA Velazquez along with AD Cruz toured the outside grounds and no bodies of water were observed. There was shading and sufficient seating for residents. Walkways around the home were clear of hazards and the exit gates were operational. The auditory alarms were noted to be in operating condition. There were no security bars or weapons on the premises. No client or staff files were reviewed at the time of this visit. LPA Velazquez observed bed rail orders for residents with bed rails. Deficiencies cited under California Code of Regulations, Title 22, Division 6, Chapter 8. An exit interview was conducted with Administrator Mark Cruz and a copy of this report along with the appeal rights and a copy of the LIC 9098 was provided at the time of this visit.