Routine inspection·November 21, 2024

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required comprehensive annual inspection. LPA met with House Manager, Teresita Espinoza and was granted entry to the facility. The facility is a one story, (6) bedroom, (3) bathroom, Residential Care Facility for Elderly (RCFE). The facility has a license capacity of (6), and a current census of (4). LPA conducted a general inspection of facility, which included, but was not limited to, the following: Operation/Physical Plant: The facility is operating in the capacity approved by Community Care Licensing Division (CCLD). Indoor and outdoor passageways were kept free of obstruction. The facility has no swimming pools or similar bodies of water. The facility has sufficient indoor and outdoor space for resident activities. Outdoor activity space is shaded and enclosed with a self-latching gate. Resident bedrooms were furnished with beds, bed linen, nightstands, storage space and sufficient lighting. Resident bathrooms were maintained clean and fixtures were operating properly. The hot water temperatures in the bathrooms measured at 109 degrees F. The facility is equipped with a covered fireplace, smoke detectors and carbon monoxide alarms, laundry equipment, and telephone service. The facility has posted in a common area Community Care Licensing complaint poster, Ombudsman poster, facility license, weekly menu, evacuation plan and emergency telephone numbers. Sharps were kept locked and inaccessible to residents in care . LPA observed chemicals and cleaning supplies were kept unlocked under a bathroom sink and laundry room. The manager locked the chemicals in both rooms. Food Service: Kitchen and dining areas were maintained cleaned. Non-perishable and perishable food supply was sufficient for number of residents in care. The facility’s refrigerator and freezer were operating properly. Care & Supervision: The facility provides 24 hours a day, 7 days a week care staff coverage. Health Related Services: Resident medications were centrally store in a locked cabinet. LPA observed medication list for resident #1 (R1) and resident #2 (R2) was not updated with current medication and dosages. Record Review: Four (4) resident files reviewed had admissions agreements, physician’s reports, preplacement appraisals, needs and services plans. Staff files were reviewed for First Aid/CPR certifications, criminal record clearances, job related training, and health screenings. LPA review of staff files reveals, staff #1 (S1) did not have a criminal record clearance by the Department. Staff #2 (S2) did not have current first aid/CPR training on file. S2 and S3 did not have record of job related training on file. The Administrator’s certification, facility’s insurance and emergency drill training are up to date. Based on LPA observations and records reviewed, deficiencies were cited and Techinical advisories were issued per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted where reports (LIC809, LIC809-C, LIC809-D and LIC9102) were discussed and copies were provided with appeal rights to the house manager at the conclusion of the visit