Routine inspection·April 9, 2024

Licensing Program Analyst (LPA) Ryan Gardner made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met Caregiver Lizeth Alonzo Garcia and was granted entry to the facility. During today’s visit, Administrator Robert C. Cantoria was phoned and arrived at the facility during the visit. The facility is a Residential Care Facility for the Elderly (RCFE) licensed for a capacity of six (6) non-ambulatory clients. The facility is defined as level 4i home vendorized by Inland Regional Center (IRC). The current census is five (5) clients. LPA was accompanied by Caregiver to conduct a general overall inspection, which included, but was not limited to, the following: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to interior and exterior passageways. The facility is maintained at a comfortable temperature. LPA inspected client bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. LPA measured and observed the water temperature in the bathrooms to be at 112.2 degrees F. The facility is equipped with operating smoke detectors and carbon monoxide alarms. The postings such as the facility license, personal rights, labor laws, the CCL complaint poster, and the disaster plan were posted in a common area. The cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. There was a designated storage space for client files and staff files. The medications are kept inside a kitchen cabinet inaccessible to the clients in care. The non-perishable and perishable food supply is sufficient for the clients in care. LPA reviewed five (5) client files for admission agreements, updated physician reports, and needs and services plans. LPA inspected the client’s medications and the client’s medication records. LPA did not observe any medication discrepancies. LPA reviewed six (6) staff files for First Aid/CPR certifications, criminal record clearances, trainings, and health screenings. During document review, LPA found that Staff S1 has been working at the facility since 2018 without obtaining a criminal record clearance. The facility will be issued a type A deficiency for allowing S1 to work at the facility without obtaining a criminal record clearance. The facility will also be issued a $500-dollar civil penalty. During document review, LPA found that Staff S2 does not have CPR/first aid training. Staff S2’s CPR/First aid training expired on 1/16/2023. S2 was working alone in the facility when LPA arrived at the facility. The facility will be issued a type B deficiency for allowing S2 to work alone with the clients without CPR/First aid training. Based on the observations made during today’s visit, two (2) deficiencies were cited per Title 22, Division 6, of the California Code of Regulations, along with a $500-dollar civil penalty. An exit interview was conducted, and this report (LIC809), LIC809D forms, LIC811, LIC421BG, and the appeal rights were discussed and provided to Administrator Robert C. Cantoria.