Routine inspection·April 15, 2025

Licensing Program Analyst (LPA) Abdoulaye Zerbo conducted an unannounced visit for a required annual inspection . The LPA was greeted by Caregiver Adela Entac, notified them of the purpose for the visit and was allowed to enter the facility to conduct the inspection. The Licensee/Administrator Annalisa Blancaflor joined the visit at a later time. Facility Overview: The facility is a single story building with four(4) residents bedrooms, two(2) bathrooms, one(1) staff room, a dinning room, a family room, a kitchen and a garage. There are no gated pool or firearms on the premises. Infection Control: LPA observed that hygiene and cleaning supplies were available for regular facility maintenance. The facility’s infection control plan was reviewed and found to meet department's requirements. Physical Plant: The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked in the kitchen and inaccessible to residents. The smoke detector and carbon monoxide detector were in good working condition. LPA observed fire extinguishers to be in compliance with the department's requirements and with an expiration date of April 15, 2026. The water temperature was tested within regulations measuring at 114.6 F Continued 809-C...... Care & Supervision/Administration: Adequate staff were present to supervise residents during the visit. The administrator holds a current administrator’s certificate with expiration date of September 9, 2025 and a CPR certification with the expiration date of May 8, 2025. LPA observed the facility has not paid their annual licensing fees due on 4/11/2025. A citation will be issued. Record Review and Resident/Staff Files: LPA reviewed files for two(2) staff members, confirming criminal clearance, updated training, and CPR/First Aid certification. Two (2) residents' files were reviewed and contained all required documentation. LPA observed first kit to be locked and inaccessible to the residents in care. The residents and staff files were inaccessible to unauthorized individuals. Health-Related Services/Incidental Medical Services: All residents' medications were securely locked in a cabinet and located in the kitchen area. LPA reviewed medications for three(3) residents, confirming that all medications were listed and accounted for. LPA observed medication of one resident not stored in their original container. A citation will be issued. Disaster Preparedness: LPA reviewed the facility’s emergency and disaster plan, including documentation of the last emergency drill conducted in 2023, which did no met department requirements. A citation will be issued. All facility exits were clear of obstructions. Deficiencies were cited during the visit per Title 22, Division 6, of the California Code or Regulations. An exit interview was conducted, and Appeal Rights were discussed with Caregiver Adela Entac. A copy of the LIC809, LIC 809D and appeal rights, was provided to Caregiver Adela Entac