Routine inspection·March 19, 2025

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit for the Required 1 Year Inspection. LPA explained the purpose of today’s visit, and was greeted and granted entry by Caregiver Laura Wiesje Oroh. Administrator (AD) Florela Tatarici arrived shortly after. For today’s visit, LPA observed a total of three residents in care and one staff member on duty. AD certificate for AD Florela Tatarici expired on August 01, 2024. Per Administrator Certificate Bureau the application certificate renewal was received on July 23, 2024, and is currently pending. LPA Ramirez toured the interior and exterior portions of the facility with Caregiver Oroh. The facility is a single level structure and is licensed for six non-ambulatory and has a Hospice waiver for four. For this visit, there are a total of five residents in care. There are a total of seven bedrooms, of which six are private resident bedrooms. LPA Ramirez toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Smoke and carbon monoxide detector were tested and operational. There are a total of five restrooms. Restrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Water temperature tested between 114.4-115.7 degrees Fahrenheit. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked and inaccessible to residents in care. Fire extinguisher was charged, mounted and located by the dining room. During today's visit LPA observed as residents were having vegetable soup, a sandwich, a yogurt and water for lunch. CONTINUED ON LIC809-C... LPA Ramirez observed the emergency disaster and evacuation plan, which is posted by the residents' bedroom hallway. Facility had back-up emergency food and water supply, located in the garage. LPA observed that the First Aid Kit had all the required components. LPA observed that medications and toxins were locked and inaccessible to residents in care. Medications are locked in a cabinet in the hallway that leads to the resident's bedrooms. For the exterior portion, LPA Ramirez observed a shaded area with patio furniture, and the grounds were free of any hazards. There is one gate in the backyard, which is both self-closing and self-latching. No bodies of water were observed. LPA reviewed five resident files and three staff files. LPA interviewed residents and staff present. For today's visit no deficiencies were issued per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with facility representative. A copy of this report was provided at the time of exit.