Routine inspection·February 21, 2025

On 02/21/25 Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to conduct a 1 year required visit. LPA was greeted and granted entry by caregiver Rositas Melendro. Below are the observations made from today's visit: The facility currently has (1) resident in care that was at program during LPAs visit. There was (1) staff present. The facility is a single story structure consisting of (4) bedrooms and (2) bathrooms. The facility is utilizing video surveillance in the common areas. The following is needed an updated facility sketch, an addendum to the plan of operation, as well as a consent from the resident acknowledging that they agree and were informed that video surveillance will be utilized in the facility. LPA observed for there to be a locked storage food room inside the garage that staff did not have access to, it is not included on the facility sketch. LPA observed for there to be a live cockroach crawling around the kitchen floor, as well as a baby cockroach on kitchen counter. Per Mr. Price the facility is doing their own extermination treatment. In addition LPA observed for there several expired food items of canned peas (4), cranberry sauce(3), refried beans (4), and (6) boxes of cake mix dating back to March 2018. LPA observed for there to be crumbs throughout the refrigerator in addition to resident medication that requires refrigeration. Deficiency cited. The Administrator Mr. Alan Price agreed to bring the small refrigerator to the facility today, Proof is to be submitted to department by 5pm 02/21/25. All staff present were observed to have criminal record clearance and were associated to the facility. The smoke and carbon monoxide detectors were tested and observed to be operable. The water temperature was tested and was found to be within regulatory limits measuring at 106.8 degrees Fahrenheit. The medications (bubble packs) were observed to be locked and inaccessible to residents in care. Based on today's inspection deficiencies were be issued in accordance with the California Code of Regulations (Title 22, Division 6, Chapter 8). An exit interview was conducted and a copy of this report, 809D, appeal rights, LIC808-Proof of corrections form and LIC811-confidential names list was provided to Administrator Alan Price.