Routine inspection·October 18, 2024

Licensing Program Analysts (LPAs) Mary Rico and Raquel Hernandez made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with caregiver Richardo Rojas Garcia and was granted entry to the facility. The facility is a two-story home (8) bedroom (4), bathroom home and, with a kitchen/dining area, living room and attache garage. Licensed capacity is (6) current census (3). LPAs were accompanied by House Manager Brandon Marquez to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). The facility is maintained at a comfortable temperature. The facility is equipped with operating carbon monoxide alarms and fire alarms. Posters such as personal rights, the CCL complaint poster, Infection Control Plan, and Disaster Plan were posted in the common area . Dishes, cups, and utensils were also stored properly. LPA inspected resident’s bedroom they’re equipped with required furniture: such mattresses night stands, and storage space. Deficiencies that were found during facility tour: LPAs inspected residents’ bedrooms; bedroom number one had a broken dresser. Residents’ bathroom shower did not have non-skid mats. LPAs tested residents’ hot water; the temperature tested at 78 F. In addition, one of the hallways lights did not turn on, the bathroom located by bedroom number four and three had the light switched broken and did not have appropriate lighting for the residents. Furthermore, LPAs requested House Manager Brandon Marquez to test the kitchen stove. LPAs observed House Manager turning the stove on with a lighter. LPAs observed facility phone line to be off. LPAs observred the facility did not have two days of perishable supplies for the number of residents in care. Lastly, LPAs were unable to enter one of the bedrooms on the second floor. House Manager Brandon Chavez stated they are unable to open the bedroom because the Administrator Na Zhao "Sandy" has the keys to enter the bedroom. Activities were not being provided, as listed on their calendar. Delicacies that were found during record review: LPAs observed the facility did not have their Plan of Operation in their facility file. In addition, R1 did not have a pre-placement, R2 and R3 did not have a Physician Report in file. During medication audit, LPA observed staff did not provide R3 with their medication, 2 out of the 10 medications were not provided. Medications were documented as given but were still in the bubble wrap. Furthermore, during medication audit, R3 requires a blood glucose to be check twice a day. LPAs observed the glucose needle kit. Based on R3 care plan, R3 is unable to administrator his own medications. The facility does not have a skilled professional on duty to provide R3 services. During staff record review, LPA observed S1 did not have a valid CPR and the facility did not have the Administrator's personnel record along with their Administrator training's at the facility. Records must be maintain at the facility. Care & Supervision: The facility had one Care Giver and House Manager Brandon Marquez present during inspection. The House Manager took over 25 minutes to arrive at the facility. At least one administrator, facility manager, or designated substitute who is at least 21 years of age and has qualifications adequate to be responsible and accountable for the management and administration of the facility pursuant to Title 22 of the California Code of Regulations shall be on the premises 24 hours per day. The facility did not have House Manager or Administrator present 24 hours. Furthermore, the House Manager Brandon Marquez is a Administrator for three other facilities. Based on observations today, the facility will be issued (5) Type A deficiencies and (9) Type B deficiencies per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed to Licensee Sandy Zhao on the phone and was provided to House Manager Brandon Marquez along with a copy of LIC809,LIC809D , and the appeal rights.