Non-compliance follow-up·February 11, 2025

On 2/11/2025, Licensing Program Analyst (LPA) Arvin Villanueva arrived at this facility unannounced to conduct a quarterly case management visit due to a current stipulation order in place. The facility is licensed under a probationary license. LPA met with 2 staff on duty and stated the purpose of this visit. The Administrator, Annie Lyn Rodriguez (AD) is currently out of the country. The designated staff, Marvin Rodriguez and Monalisa Salipan, arrived shortly after. Present in today's visit were 5 residents in care with 2 staff on duty. Facility is approved for 6 non-ambulatory elderly residents, fire cleared for 1 bedridden resident, and approved for 1 hospice resident. LPA conducted a physical inspection of the facility. LPA observed residents were in their bedroom watching TV and being assisted by staff. Another staff was observed to be preparing residents' lunch during this visit. Room temperature was measured at 75*F and hot water temperature was measured at 116*F in 1 of 3 resident bathrooms. 3 of 5 bedrooms were observed to be clean and good repair. 2 of 3 bathrooms were observed to be maintained and good repair. Medications, sharp objects and toxic chemicals were observed to be locked and inaccessible to residents in care. Stipulation was observed in a conspicuous place at the office desk area. During this visit, LPA conducted review of 2 of 6 resident records and 2 staff records. Resident records reviewed have updated Physician's Report and Needs and Services Plan. Current residents are not receiving hospice services. 2 of 2 staff record reviewed have current 1st Aid/CPR certificates and fingerprint clearance. Per stipulation, facility conducts monthly staff training. Last training was conducted on 1/5/25. Per California Code of Regulations, Title 22, Division 6, Chapter 8, no deficiencies were observed during this visit. An exit interview was held, and a copy of the report was left at the facility with the Administrator.