Routine inspection·October 2, 2024

Licensing Program Analysts (LPAs) Debbie Palacios and Sara Martinez made an unannounced visit to the facility to conduct a 1 year required inspection. LPAs were greeted and Licensee Fedelia Daiz provided the facility tour. LPAs conducted a tour of the interior and The facility is a single story home consisting of 4 bedrooms, 2 bathrooms, kitchen, living room, and 1 staff room. The facility was observed to be clean, clutter, and free from obstructions in the passageways. LPAs observed a hand rail in a hallway leading to a Resident's room to be hanging off from the wall which is a potential health and safety risk for residents in care. A deficiency will be issued under Title 22 Regulation 87303(a) along with a plan of corrections. The facility was observed to have personal protective equipment (PPE) supplies. There are no known guns or ammunition on the premises. The smoke detector and carbon monoxide was operational, and the hot water temperature met department requirements. The facility has a record of emergency disaster drills being conducted but last emergency drill conducted was on 05/16/2024 which it does not meet Department requirements. D eficiency cited under Health and Safety Code 1569.695(c) along with the plan of corrections. Detergents, cleaning solutions, and sharp and dangerous objects were observed to be unlocked and were accessible to residents which is a potential health and safety risk for residents in care. A deficiency will be issued under Title 22 Regulation 87309(a). LPAs observed that the facility had expired food in the refrigerator and in pantry; a deficiency will be issued under Title 22 regulation 87555(b)(8). LPAs reviewed staff files and training. All staff have the required personnel records on file and criminal record clearance. LPAs observed that staff (1) did not have the required Annual training. A deficiency will issued under Health and Safety regulation 1569.625(b)(2).Three (3) resident files were reviewed and possessed all required paperwork which included Admissions Agreement, Needs and Service Plan, and updated Physician's Report. The listed administrator possesses a current administrator's certificate that expires in 2025. Resident medication was centrally stored and locked in a medication cabinet located in the kitchen. LPAs reviewed medications prescribed to three (3) residents and found all medication with required labeling found to be in place. LPAs observed Resident one (R1) had PRN administered without required documentation of day and time given. A Deficiency will be issued under Title 22 regulation 87465(d)(3). LPAs reviewed the facility's emergency and disaster plan. Based on today's visit citations were issued on the attached 809D, 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, appeal rights, LIC 811 were provided to Fedelia Daiz, Licensee.