Routine inspection·November 13, 2024

Licensing Program Analyst (LPA), Armando Perez made an unannounced visit to the facility for the purpose of conducting a required annual inspection. The LPA was granted entry by staff to conduct the inspection and met with Administrator, Jamie Tang. The LPA informed the Administrator of the purpose for the visit. The inspection included the following: The facility consists of four (4) resident bedrooms, two (2) bathrooms, a kitchen and dinning area, a living room area, a garage and laundry area, and a patio and yard with sufficient seating and space for activities. There are no bodies of water located on the property. According to Administrator, no weapons are stored in the home. All outdoor and indoor passageways are kept free of obstruction and are free of debris and other trash. There are grab bars for each toilet, bathtub and shower used by residents. Resident showers have non-skid mats present. The home is maintained at a comfortable temperature for the clients. Water temperature measured 103.4 degrees F. Lighting in the kitchen and one of the bedrooms had a broken dimmer switch that made it difficult to turn on the lights and will need to be repaired. A citation will be cited. The home was kept clean and free of any odors. LPA began review of client records. Five (5) records were reviewed. LPA reviewed for identification and emergency information, admission agreement, medical assessment, and TB test results, needs and service plans, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification. LPA began review of employee records- Three (3) records were reviewed. LPA reviewed employee records for first aid certification, health screening and TB test results, employee rights, training verification, and current administrator certification; expiration date 07/30/2025. LPA observed the criminal record clearance or an exemption records was not kept with personnel files. Administrator stated they believed having Guardian clearance was sufficient enough. A technical assistance will be issued for the fingerprint clearance not accessible within a reasonable time. LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. Food supply meets the requirement of one (1) week supply of nonperishable and two (2) day supply of perishables. Emergency food and water supply is present. There is a locked location for chemicals in the living room and and for sharps in the k itchen. LPA observed cleaning chemicals under a bathroom sink consisting of floor liquid cleaner and sprays. A citation will be cited. Medication - a re centrally stored. There is a locked closet in the living room allocated for medication storage. Centrally stored medication and destruction logs are maintained. Medications reviewed appear to have been dispensed accurately. LPA made observation throughout the inspection process to assess if the facility remains in conformity with the State Fire Marshall regulations. Smoke detectors and carbon monoxide detectors were tested and found to be operational. LPA observed Fire extinguisher to be expired and needing service. A citation will be cited. The facility is conducting emergency disaster/fire drills quarterly; last done on 10/01/2024. Based on the information received during this visit today in the areas reviewed, there are deficiencies that are being cited per Title 22, Division 6 of The California Code of Regulations. A plan of correction has been discussed and agreed upon with Administrator. An exit interview was conducted, and this report was discussed and provided to Administrator, Jaime Teng.