Routine inspection (multi-day)·June 16, 2022

Licensing Program Analyst (LPA) Edward Tapia made an unannounced required annual inspection at this facility. LPA met with staff Carel Veladre, Grecia Balladares and stated the purpose of this visit. Administrator Raymond Tinio arrived during the inspection to provide assistance. The facility is a single level structure and licensed for six non-ambulatory of which one can be bedridden and six can be on hospice. This facility offers Residential Care for the Elderly. At about 8:53 am, LPA Tapia was granted entry however, was not asked to complete the Coronavirus 2019 (COVID 19) screening procedure. For this visit, LPA observed one resident in care and two staff members on duty. LPA toured the interior and exterior portions of the facility. There were four resident rooms one of which could be shared room. One room was for the staff. 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. Bathroom (1) was observed to be in good repair and provided with grab bars and hot water was measured at 131.1 degrees Fahrenheit. Bathroom (2) was observed to be in good repair and provided with grab bars and hot water was measured at 130.8 degrees Fahrenheit. Administrator was made aware of water temperature. Facility met the minimum two day supply of perishable and seven day supply of non-perishable food stock requirements, cleaning supplies inaccessible to residents in care. Facility also had emergency food for resident in care. Facility did have personal protective equipment in place but are in need of gowns and N95 masks. Administrator will obtain the necessary PPE equipment. Fire extinguisher was observed to be charged and operational. However, fire extinguisher was expired. Administrator was made aware of this matter and will have fire extinguisher replaced. For the exterior portion, facility had outside furniture in good repair; and grounds were free of tripping hazards. Facility also had an attached 2 car garage which is used for storage and contained an operational washer and dryer. Kitchen was in good repair with cleaning supplies kept locked. LPA noticed some unused knifes where not locked and staff immediately removed them and locked them away so no resident could access them. LPA Tapia also notice first aid kit was not locked and informed staff that all medication/medical suppies need to be locked. LPA Tapia reviewed the COVID 19 mitigation 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, no deficiency was noted in areas observed. No citation was issued. Four advisories were issued today. LPA Tapia conducted an exit interview with Administrator Raymond Tinio and copy of this report was explained and left at the facility.