Routine inspection·February 4, 2025

On February 4th, 2025 Licensing Program Analyst (LPA) William Vanegas made an unannounced visit for the purposes of conducting an annual visit. Upon arrival LPA Vanegas was greeted and granted entry by Care Giver (CG) and explained the purpose of the visit. Upon entry LPA Vanegas set up equipment and began a tour of the facility and observed the following. This a two storied home with seven bedrooms, four of which are resident bedrooms and three of which are staff bedrooms. There is three bathrooms two of which are resident bathrooms and one of which is staff bathroom the facility also has an attached two car garage. LPA Vanegas observed the kitchen to be clean and free of debris. LPA Vanegas observed kitchen to have a microwave, dishwasher, gas stove and refrigerator all tested to be operational and in good repair. LPA Vanegas observed a 2 day supply of perishable food and a 7 day supply of non-perishable food with a sufficient amount of emergency water. LPA Vanegas observed all client bedrooms to have required furniture such as a bed, closet space, a lamp, chest drawers, and clean linens in good repair meaning no strains or tears. LPA Vanegas observed all resident bathrooms to be clean and free of debris and mildew. Toilet and water faucet tested operational. Water tested in between 110.8 and 111.0 degrees. All bathrooms consisted of the required furnishings such as functional grab bars slip resistant floor matts and shower chair. LPA Vanegas observed fire extinguisher to be fully charged, LPA Vanegas observed smoke and carbon monoxide detectors to be functional and in good repair. LPA Vanegas observed first aid kit to contain all required material such as tweezers, scissors, adhesive tape, a thermometer, and clean bandages. LPA Vanegas observed outside of the facility and noted no obstructions along exit routes or ramps or inclines. Side doors are unlocked and self latching. Backyard is big enough to participate an outdoor activities and contains an outdoor shaded seating area. CONTINUED ON LIC809C LPA Vanegas observed medications to be locked and inaccessible to residents in care. LPA Vanegas observed toxins and sharps to be inaccessible to clients in care and locked away. Toxins are stored separately from food items. LPA Vanegas reviewed emergency disaster plan, and infection control plan. Both items contained all required documentation. LPA Vanegas was unable to review staff records due to facility staff not having it available for review. A deficiency was cited on today's date. LPA Vanegas reviewed three client records. All client records contained all the required documentation. LPA Vanegas reviewed medication administration record and medications with Administrator (AD) Basyouny Elsayed. Per LPA Vanegas review medications are not being documented correctly and medications are being transferred from one bottle to another a deficiency was cited on today's date. Based on the observations made during today’s inspection, deficiencies are not being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report and appeal rights were left at the facility.