Routine inspection·January 29, 2024

Licensing Program Analyst (LPA) Janira Arreola and conducted a required annual visit. LPA was greeted and was granted entry and met with Staff, Joseph Valdez and spoke with Administrator Daniel Barrett over the phone who was informed of the purpose of the visit. LPA was accompanied by a Community Care Licensing approved American Sign Language interpreter to assist LPA's communications with facility staff and residents. At the time of visit there were (4) clients and (2) staff present. The facility is a one story home with (6) bedrooms and (4) bathrooms. The facility does not have a pool or fire arms. The facility is a residential care facility for the elderly serving elderly ages 60 and above. LPA observed the following: Infection Control: LPA observed hand hygiene supplies, PPE equipment and cleaning supplies to do regular cleaning of the facility. The facility has a infection control plan on file. Physical Plant: Physical plant, floors, windows, and doors were observed to be clean and fixtures and furniture were present and in good repair. The facility's outdoor area was observed to be free of hazards. Laundry equipment was observed to be in good working condition. The carbon monoxide detector was tested and operational during the visit. LPA observed beeping noise and error code coming from the fire panel in the home. The administrator informed the LPA that this was recently installed in the facility. Technical note was issued for facility staff to have this inspected. Food Service: LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. LPA observed the facility met the required food items. Record Review and Resident/Staff Files: LPA reviewed staff files and training. LPA found that (2) staff did not have a documented physical exam on file. deficiency was cited and plan of correction was documented with administrator. (1) staff was found to not have current annual 20 hour training, LPA documented technical note and documented date when the staff would conduct the training. Client files were reviewed and possessed all required paperwork. Health Related Services/ Incidental Medical Services: All client medication was locked in a kitchen cabinet. LPA reviewed client medications and found that MARS and medication was accounted for and had required labeling. Disaster preparedness: LPA reviewed the facility's emergency and disaster plan. Technical note was documented for staff to update to new LIC610D. Administrator was unable to provide documentation on most recent drill. deficiency was cited and plan of correction was created with administrator. The documentation did not meet the department standards and technical note was documented. An exit interview was conducted with staff, Joseph Valdez where this report and deficiency pages and appeal rights were reviewed and provided to them.