Routine inspection·November 9, 2023

On 11/8/2023, Licensing Program Analyst (LPA) Janira Arreola conducted an unannounced annual required visit. LPA was granted entry and met with staff Madeline Velasco and spoke with administrator Maricel Calma over the phone\. Both were informed of the purpose of the visit. At the time of the visit there was (2) staff and (5) residents present. The facility is a one story home with attached garage. No firearms or pools are present at the facility. The home has (5) bedrooms and (3) bathrooms. The residents served are elderly ages 60 and above. LPA conducted a tour of the interior and exterior, reviewed facility documents and conducted a staff and resident interviews. LPA observed the following: Infection Control: The LPA observed hand washing stations with hand hygiene supplies. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. The facility has a plan to train staff on infection control guidelines. Physical Plant: Physical plant was observed to be clean and in good repair. The indoor and outdoor areas were observed to be free of hazards. Laundry equipment was observed to be in good working condition. The sharp and dangerous objects were observed to be locked and inaccessible to residents. The smoke detector and carbon monoxide were operational, and the hot water temperature was recorded at 118F. Food Service: LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. LPA observed the facility met the required 2-day supply of perishable and 7-day supply of non-perishable foods. Record Review and Resident/Staff Files: LPA reviewed staff files and training. One staff file was not available for Staff #1 (S1). S1 also does not have a documented criminal record clearance with the department. Both staff in shift did not have proof of a current CPR certification. These issues were documented on deficiency page and plan of correction was created with administrator. Civil penalty is being assessed for S1 at $500, and removal was conducted during the visit. Resident files were reviewed, and possessed all required paperwork. Health Related Services/ Incidental Medical Services: All client medication was locked in cabinet next to the kitchen. LPA reviewed resident medications, all of which were accounted for. Disaster preparedness: LPA reviewed the facility's emergency and disaster plan. The facility's last fire drill was conducted 8/1/23. An exit interview was conducted where a copy of this report, along with deficiency pages, appeal rights, and civil penalty was reviewed and provided to staff, Madeline Velasco.