Routine inspection (multi-day)·July 12, 2024

Regional Manager, Reyna Lacey, and Licensing Program Analyst (LPA), Stephanie Martinez, made an unannounced visit to the facility for the purpose of conducting a required annual inspection. The LPA was greeted and allowed to enter the facility to conduct the inspection. On today’s visit the LPA met with Administrator, Teresa Mapilis, and Business Office Manager (BOM), Nicole Anguiano. They were notified of the purpose for the visit. PHYSICAL PLANT: The Licensee appears to be operating the facility within the conditions and limitations specified on the license. Residents appear to be protected against immediate hazards. Outdoor and indoor passageways are kept free of obstruction. No pool or body of water was observed on the property. According to the Administrator, there are no weapons kept on the property. Disinfectants, cleaning solutions, and poisons were inaccessible to residents in care. A comfortable temperature was being maintained in each building on the property. There was sufficient lighting in resident bedrooms to ensure the comfort and safety of residents. The hot water was tested in several resident bedrooms and observed to be within regulatory requirements. Toilets, hand washing and bathing facilities were kept safe, sanitary, and in operating condition. Additional equipment for physically handicapped clients is available. The smoke and carbon monoxide alarms are being monitored by alarm central and recently inspected by the county fire department. Corrections requested by the fire department were completed on 07/08/24 and 07/09/24. The interior and exterior areas of the facility were observed to be clean and safe. FOOD SERVICE: There was a variety of food which appeared to be selected and stored in a safe and healthful manner. Food supply of nonperishable and perishable foods was sufficient. Sufficient supplies for resident's dinning use was observed to be available. RECORD REVIEW: Staff files had required training; including, but not limited to, First Aid/CPR, Reporting Requirements, and Emergency and Disaster Training. Training on special health conditions was observed on file. Hospice Care Plan was observed on file for resident in care. Staff present had the required criminal record clearances. Admission Agreement, Medical Assessment (Physician's Report), Assessments, and Service Plans were observed on file for residents in care. Administrator Mapilis has an active Administrator's certificate, which expires on 12/30/2024. A fire drill was completed on 06/05/2024. The facility currently has 18 residents in care receiving hospice services; which is within their Hospice Waiver limit. The Licensee corporation is active with the California Secretary of State and proof of current Limited Liability Insurance was observed to be in place. MEDICATION: Two of four medication carts were inspected. Medications were labeled and maintained in compliance with label instructions and State and Federal law. Medications were observed to be safe, locked, and inaccessible to residents in care. No deficiencies have been cited at this time. This report was reviewed with Administrator Mapilis and a copy was provided. NOTE: LPA left the facility at 1:00 PM and returned at 1:30 PM.