Routine inspection·January 25, 2024

On 1/25/2024, 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, Mia Ibarra who was informed of the purpose of the visit. LPA also met with Licensee, Heather Ramirez who was informed of the purpose of visit. At the time of visit there was two #2 staff and five #5 residents present. LPA toured the facility inside and out with Caregivers, Samantha Vasquez and Mia Ibarra, and Heather Ramirez. Tour included: Kitchen: LPA toured the kitchen and observed the kitchen to be clean. Food is stored in a safe and healthful manner. Utensils and dishware are sufficient for the capacity. The refrigerator and stove are in working order. Trash cans has tight-fitting lid. Fridge, freezer, and all need appliances were present and shown to be in working condition and clean. During LPA’s tour of the kitchen, LPA observed the knives and other sharps in the kitchen drawer not locked, accessible to clients. LPA asked Mia and Samantha to lock the drawer but was told they couldn’t find the key and the knives are not usually locked. Heather arrived and immediately locked the drawer (Citation will be issued). Dining and Livingroom; LPA toured the dinning and Livingroom area. LPA observed area to be clean and furnitures in good condition. Temperature was 72 degrees Fahrenheit. Hallway: LPA toured the hallway and observed hallway to be clean with no pathway obstruction. LPA inspected the fire extinguisher and found it to be in compliance and record to be up to date. Carbon monoxide & smoke detector were tested and functioning properly. LPA observed additional linens and hygiene items. Medication: Medications were labeled and stored in separate bins inside of a locked medication cart and are distributed according to physician orders. The first aid kit was complete. Bathroom: LPA toured three #3 resident bathrooms and observed bathrooms to be clean and equipped with grab bar and non-slip mat. There is also a good number of personal toiletries available for the residents in care. The hot water measured at 113 degrees Fahrenheit. Bedroom: LPA toured six #6 out of #6 resident bedrooms and observed bedrooms to be clean and furnished according to regulation, which includes proper furniture, dressers, chairs, and lighting. Night lights were maintained throughout the facility. Garage: LPA tour the garage and observed garage to be clean. Laundry: Washing machine and dryer are all in good repair and sufficient for the census. Cleaning supplies are stored away in the laundry room. During LPA’s toured of the laundry room, LPA observed laundry room to be open and cleaning solutions not locked up in the laundry room making it accessible to clients (Citation will be issued). 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 gate 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 large enough to accommodate required perishable foods. Records: All required postings, including COVID’s postings, were posted near the entryway and throughout the facility. The administrator certificate expires on 2/12/2024. Three #3 residents file were reviewed. LPA requested for three staff files for review but was informed by Heather that staff files are not available at the facility (Citation will be issued). Interview: Two staff and three residents were interviewed. Therefore, based on the observations made during today’s visit, three #3 deficiencies will be cited per Title 22, Division 6 of the California Code of Regulations. See LIC809D. An exit interview was conducted, and this reported was provided along with appeal rights to Heather Ramirez.