Routine inspection·April 14, 2025

Licensing Program Analysts (LPAs) Holly Williams and LPA Charlie Yang arrived unannounced to conduct an annual inspection. LPA Williams called and spoke with facility licensee on the phone Diana Garcia and explained the purpose of the visit. LPA Williams asked Diana Garcia to come to the facility or to have the new administrator Stacy Smith be present. Garcia stated that Smith could not come because Smith is at the other facility and if Smith did not show up then Aisake Jemesa the caregiver can sign the report. 2 hours into the inspection the licensee Diana Garcia arrived at the facility. LPA Williams reviewed 6 resident files (R1-R6) and six staff files (S1-S6). LPA Williams toured the facility with Aisake Jemesa and inspected common areas, the kitchen, bedrooms, bathrooms, and backyard areas. Furniture and furnishings were sufficient to meet the needs of residents. The facility temperature was 82 degrees Fahrenheit, which is within the required range of 68 and 85 degrees. The facility's water temperature measured 109.8 degrees Fahrenheit, which is within the required range of 105 and 120 degrees. LPA Williams observed bathroom did not have a bath mat. LPA Williams observed first aid supplies, a fully-charged and up-to-date fire extinguisher, and working carbon monoxide/smoke detectors. LPA Williams observed a minimum 2-day supply of perishable food and a minimum 7-day supply of nonperishable food. LPA Williams observed a locked cabinet for the storage of medication. LPA Williams observed unlocked cabinets for the storage of cleaning solutions. The garage was unlocked and the cleaning supplies and poisons were accessible to residents. LPA Williams observed the knives locked and inaccessible to residents. LPA Williams observed in R1's room a bag of candy, the smell of urine was strong, and medication was out and accessible. [Continue on 809-C] LPA Williams reviewed R1's LIC 602 and it stated that R1 is on a special diet and R1 cannot store R1's own medication. LPA observed LIC500 dated 3/20/25 states 1 staff member scheduled Tuesday through Saturday. LPA Williams observed a LIC500 that had the administrator working Saturday, Sunday, and Monday. LPA Williams while conducting record review found S1 did not have a health screening or a TB Test. LPA Williams interviewed 1 staff member (S7) and 1 resident (R1). The following deficiencies were observed and cited on the following LIC 809-D pursuant to Title 22 Rules and Regulations, Health and Safety Codes. Appeal Rights were printed and a copy was given to the facility licensee at this time. Exit Interview