Routine inspection·April 22, 2025

Unannounced Annual Inspection visit was made by Licensing Program Analysts (LPAs) Kimberly Viarella and Sommer Hayes to this facility on 04/22/25. LPAs identified themselves upon arrival, stated the purpose of the visit, and met with the Licensee/Administrator, Maria "Gloria" Dulay. A brief interview followed. LPA presented Licensee/Administrator with a list of documents to be collected during this visit: LIC 500, LIC 9020, LIC 308, LIC 400, LIC 402, LIC 610E, a copy of liability insurance, blank admissions agreement, updated facility sketch, and a copy of the Designated Facility Administrator's Certificate. The inspection began in the kitchen. All knives were locked and inaccessible to residents in care. The food supply was adequate for 2-day perishable and 7-day nonperishable. LPAs observed packages of bread and leftovers that were not packaged and dated as required. LPA provided technical assistance. LPA compared the facility sketch to the current floor plan and they were identical with no changes. LPA inspected 6 resident bedrooms, 2 staff rooms and an office. All resident rooms had the required furniture, furnishings and lighting to be in compliance at this time. LPA noted soap, paper towels, and trash cans in the 4 bathrooms. The hot water temperature was measured at 108 degrees Fahrenheit and was in compliance. The fire extinguisher was last serviced on 09/18/24 by Sentinel Fire Equip. Comp and was also in compliance. The exterior of the building was inspected by the LPA. There were no bodies of water present and the yard was completely fenced in. LPA observed that all screens and gutters were in good repair. There were shaded areas in the front and rear of the building for residents to enjoy. LPA observed pesticides that were left unattended in 2 places in the yard. The Administrator removed them immediately to ensure that they were inaccessible to residents in care. This deficiency was cited on the LIC 809D page. The LPA observed medications were stored in a locked cabinet in the kitchen. LPA also observed some over the counter/staff medications in another unlocked cabinet. LPA explained that all medications need to be locked up and inaccessible to residents in care. This deficiency was also included in the citation on the LIC 809D page. LPA reviewed storage, dosing, and destruction procedures. A review of the First Aid kit by the LPA found it to be complete and in compliance. A file review was completed by the LPAs. LPAs reviewed 2 resident and 2 staff files. The resident files were in compliance at the time of this inspection. LPA provided technical assistance stating that training needed to be documented in each of the staff files. Copies of completed annual online training had not been printed out. The Administrator stated they will be sent to Community Care Licensing by 05/02/25. LPAs compared the LIC 500 (Staff Roster) with the Guardian roster to ensure that all staff had the appropriate background clearances to care for the residents. All were in compliance at the time of this inspection. According to the California Code of Regulations, Title 22, any deficiencies that were cited during today's inspection were cited on the LIC 809D page. A copy of this report was provided along with APPEAL RIGHTS and an exit interview was conducted.