Routine inspection·October 19, 2023

On 10/19/2023, Licensing Program Analyst (LPA) Chinwe Nwogene arrived unannounced at the facility to conduct an annual inspection. LPA Nwogene was greeted and granted entry by Caregiver, Teresa Powell who called the House Manager, Juana Shalabi. Juana arrived at the facility shortly after. Teresa Powell and Juana Shalabi were informed of the purpose of the visit. At the time of visit there was 2 staff and 7 residents present. LPA was informed by Teresa and Juana that facility has seven residents residing in the facility. Facility is operating above capacity. Citation and civil penalty will be issued . LPA toured the facility inside and out with Teresa. Tour included: Kitchen; LPA toured the kitchen and observed kitchen to be clean. Food is stored in a safe and healthful manner. Utensils and dishware are sufficient for the census. The refrigerator and stove are in working order. Sharps are stored in a locked kitchen drawer, available only to authorized individuals. Trash cans has tight-fitting lids. Fridge, freezer and all need appliances were present and shown to be in working condition and clean. Dining and Livingroom; LPA toured the dinning and Livingroom area. LPA observed area to be clean and furnitures in good condition. Temperature was 78 degrees Fahrenheit. Hallway; LPA toured the hallway and observed hallway to be clean with no pathway obstruction. LPA observed additional linens and hygiene items. LPA inspected the fire extinguisher and found it to be in compliance and record to be up to date. Smoke detector was tested and functioning properly. LPA observed facility has no Carbon monoxide. Citation will be issued. Medication; Medications were labeled and stored in separate bins inside of a locked medication cabinet and are distributed according to physician orders. The first aid kit was complete. Continue on LIC809-C Continued from LIC809. Bathroom; LPA toured two #2 out of #2 resident’s bathroom and observed bathroom to be clean and equipped with grab bar. There is also a good number of personal toiletries available for the residents in care. The hot water measured at 114 degrees Fahrenheit. Bedroom; LPA toured five #5 out of #5 residents bedroom and observed bedrooms to be clean and furnished according to regulation, which includes proper furniture, dressers, chairs and lighting. Facility has no Night lights. Citation will be issued. Garage; LPA tour the garage and observed garage to be clean. Laundry; Cleaning supplies are stored away in the laundry room, inaccessible to clients. Washing machine and dryer are all in good repair and sufficient for the census. Backyard; LPA toured the backyard and observed backyard to be clean and furnitures in good condition. The backyard was free from obstruction and the side gates remain unlocked. No bodies of water were observed. Food Services: There are seven days non-perishable and two days of perishable food supply present, and all food was properly stored and available to residents. Fridge and freezer are sufficient enough to accommodate the required perishable foods. Records: All required postings, were posted near the entryway and throughout the facility. The administrator certificate expired on 10/1/2022. LPA was informed Administrator already received the administrator certificate but is yet to print it out. LPA advised Juana to print out the administrator certificate and have it available in the facility. All staff present are confirmed as being associated with the facility. Two staff and three #3 residents' records were reviewed. One staff has no documentation of criminal record clearance, both staff has no health screening, both staff has no CPR, one staff has no proof of training, and two residents has no medical assessment. Facility has no infection control plan. Citations will be issued. Interview; two staff and three residents were interviewed. Therefore, based on the observations made during today’s visit, a civil penalty will be assessed, and nine #9 deficiencies will be cited per Title 22, Division 6 of the California Code of Regulations. See LIC 809D. An exit interview was conducted, and this reported was provided along with appeal rights to Juana Shalabi.