Routine inspection·January 5, 2024

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Maria Jasmin Dolores, Administrator, and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE) with a license capacity of (30) and a current census of (21) residents in care. The facility has a hospice waiver for (30) residents. LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: Physical Plant: Indoor and outdoor passageways are free of obstruction. The facility has no bodies of water accessible to residents in care. The facility has sufficient indoor space for resident activities. Outdoor activity space is fenced and sufficient for resident activities. The facility has sufficient lighting and is maintained at a comfortable temperature. Resident’s bathroom equipment were in operation condition. The hot water temperature in residents' bathrooms measured 105 to 118 degrees F; however, the facility did not ensure infection control practices were maintained by having uncovered trash containers with tissue in residents bathrooms. Resident’s bedrooms have sufficient lighting, operating signal system, and furniture in good repair. The facility has operating carbon monoxide alarms and telephone service. The facility has sufficient linen, blankets, and personal hygiene items for residents. The facility has posted in a common area, Community Care Licensing complaint poster, Ombudsman poster, resident's personal rights and emergency telephone numbers. Food Service: Facility has sufficient non-perishable and perishable food supply for residents in care. The refrigerator and freezer are operating in a healthful manner. Pesticides and other cleaning solutions were kept locked and stored away from food areas. Care & Supervision : Facility has 24-hour support staff. Record Review: Staff files reviewed were observed to be complete and included criminal record clearances or exemptions through the Department. Resident files reviewed were observed to be complete. Administrator’s certification expires on 7/15/2024. The facility did not have a current emergency drill conducted with staff on file. Medical Related Services : All medication is centrally stored and kept in a locked cabinet. The facility has a complete first aid kits with a first aid manual. Deficiencies are being cited per Title 22, Division 6 of The California Code of Regulations. An exit interview was conducted where reports LIC809/LIC809-C/LIC809-D were discussed. Copies of the licensing reports with appeal rights were provided to the Administrator at the conclusion of the visit.