Routine inspection·July 26, 2024

This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of conducting a Required – 1 Year Inspection. LPA met with facility staff Jackie Escamilla and discussed the purpose of the inspection. Administrator (AD) Jesus Soto arrived during the inspection. LPA reviewed Infection Control requirements. At about 9:30AM, LPA and AD conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, and medication room and observed the following: Structure: this is a large commercial facility. Facility is composed of two buildings. The two-story administrative building does not contain any resident rooms but contains staff offices, common areas, and storage areas. The larger one-story residential building contains 36 resident bedrooms, 29 bathrooms, common areas, medication room, dining room, kitchen, and laundry rooms. There is a large patio with patio covers for the residents. Resident Bedrooms: the 20 resident bedrooms inspected are spacious and will easily accommodate the residents’ furnishings. Furniture for 20 resident bedrooms inspected. Bathrooms: the bathrooms were clean, faucets and toilets were operational. Water temperature: tested between 115 degrees F and 119 degrees in the 4 resident bathrooms inspected. Linens & Hygiene Supplies: new linens and fully stocked linen closets were observed. Emergency Phone Numbers, Exit Plan & Menu: reviewed. Food Service: LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food is available as required by regulations. Carbon Monoxide, Smoke Detectors, Fire Extinguisher: observed. Appliances: stove burners, microwave, washers, and dryers inspected. Knives: observed locked in the kitchen. Toxins: observed locked in the storage rooms. Medication room: observed to be locked. First-Aid Kit and Activity Supplies: observed and available. The facility’s licensing fees have not been paid. At about 10:30AM, LPA reviewed 5 resident files and 5 staff files, interviewed 5 residents and 5 staff, and inspected medications for 5 residents. Facility does not handle resident money. CONTINUED During the inspection, LPA and AD observed the following: based on interviews and documents, the current administrator started in 2023 but still has not been properly designated; based on documents and admission, the facility has 35 residents all of whom have dementia and are non-ambulatory but only has a non-ambulatory fire clearance for 25; based on documents and the Licensing Information System, facility staff Jesenia D Vargas-Sandoval is not background cleared and has been working at the facility since May 28, 2024 per their staff file; based on observation, the administrative building where staff work on both floors does not have an evacuation chair; and based on documents, the licensee has not paid their licensing fees which are now past due. Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. See LIC809D. Immediate civil penalties are being assessed. See LIC421IM, LIC421BG. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative.