Routine inspection·November 1, 2024

Licensing Program Analyst (LPA) Lydia Martinez made an unannounced visit to the facility to conduct a Required - 1 year inspection. LPA identified herself and was granted entry into the facility by Caregiver (CG) Olimpia Lang and Jerry Benadas. LPA noted facility to be clean, safe and sanitary. Representative Kian Pascual arrived shortly after. Administrator Donnavee Lalap's certificate expired on 03/10/2024. LPA could not verify that AD has submitted a Renewal application. Facility has no active Administrator. Six Residents and 2 staff were present during today's visit. LPA, along with CG Lang toured the physical plant. LPA observed the facility to be clean and in good repair. The home is maintained at a comfortable temperature. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each Resident comfortably. Bathrooms were checked, toilets/water faucets worked properly and showers are free of mold/mildew. Hot water temperature is within regulatory requirements. Bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards, doorways were free of obstructions. Kitchen is clean and organized. Perishable and non-perishable food supply was checked and adequately stocked. LPA observed sharps and cleaning supplies are inaccessible to the residents. Smoke detectors and carbon monoxide detector tested operational. Fire extinguisher was fully charged and mounted. No bodies of water were observed outside. Walkways around the home were clear of hazards. Exit gates were unlocked and self latching. Backyard has a covered patio with patio furniture for outdoor activities and sufficient seating for Residents and visitors. Emergency/Fire Drills are conducted last one being 09/19/2024. LPA observed emergency supplies including food and water. LPA reviewed 6 Resident files and 2 staff file. Resident and staff files contained required documentation, such as First Aid/CPR, training, etc. Medication was observed to be in a centrally stored location and medication reviewed appeared to have been dispensed accurately. Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of LIC809, LIC809D, LIC9102 and Appeal Rights were sent to email on file.