Routine inspection·April 10, 2024

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced visit to Flowers Family Care. The purpose of today’s visit was to conduct the Annual Required inspection. LPA was allowed entry into the home and met with Caregiver Dominga Santillian. Facility is licensed for 6 non-ambulatory residents, one of which may be bedridden. Facility has an approved hospice waiver for 6 residents and the home currently has 4 residents. There are no residents on hospice care during today's visit. Administrator/ Licensee Jonathan Martinez arrived during the visit. LPA Lyman along with Caregiver Dominga Santillian toured the facility at 10:05 AM. LPA toured the physical plant, checked food service, and the first aid kit. Facility appears to be clean, safe, and sanitary. The home consists of three resident bedrooms, two shared bathrooms, living room, dining room, and kitchen. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. At 10:15 AM, LPA observed unsecured supplements in resident room. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured between 108.6 and 109.4 degrees F in all facility bathrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards, doorways were free of obstructions. First aid kit had all the required elements including tweezers, thermometer, and scissors. LPA observed a locked storage area for cleaning supplies in the kitchen. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. At 10:25 AM, LPA observed the medication cabinet is unlocked and medications are unsecured. Smoke detectors and Carbon Monoxide detectors are hardwired and tested operational during today's visit. Fire extinguishers are fully charged. Kitchen appliances are operational during today's visit. LPA toured the outside grounds and there is a fenced pool. LPA observed emergency food and water supply in the garage. LPA reviewed the CONT ON LIC 9099C DATED 4/10/24 emergency disaster plan during the visit. Plan is thorough and complete. Facility provides activities in the form of games and exercise. At 11:00 AM, LPA reviewed four resident files and three staff files. Resident files contained required documents including admission agreements and current physician reports. Staff files reviewed contained required documentation of annual training, health screen/TB, and criminal record clearance. At 11:30 AM, LPA reviewed medication storage and administration. Medications are being administered per physician order. LPA observed facility is performing finger sticks on Resident 3. Based on the observations made from today's visit, deficiencies is being cited per Title 22 Division 6 of the California Code of Regulations. This report was discussed with the Administrator and a copy was provided to Administrator as well as Appeal Rights.