Health check·October 15, 2024

On 10/15/24, at 9:30am, Licensing Program Analyst (LPA) Arvin Villanueva arrived unannounced to this facility to conduct a case management visit. LPA initially met with one of the staff on duty (S1) and stated the purpose of the visit. The Licensee, Aida Gatchalian, was notified of this visit and arrived shortly after. Present during today's visit were 6 residents in care with 2 staff on duty (S1 and S2). During this visit, LPA Villanueva conducted an inspection of the facility, which included the living room, family room, bathroom, kitchen/dining area, bedrooms, and garage. In the family room, three residents were observed watching TV. While inspecting one of the bathrooms, LPA observed a spray cleaning bottle on the toilet seat and a cleaning solution on the floor, for which a photo was taken. At that time, S1 was assisting a resident in the dining area, while S2 was aiding another resident in their bedroom. The facility features a three-car garage, which was inspected. The right side of the garage was sectioned off with cabinets, which contained clothing belonging to the owner, as confirmed by S1. In this area, LPA also observed four mattresses propped upright against the wall, along with luggage and boxes. Near the exit door leading outside, a lounge chair and a shoe organizer filled with shoes were noted. Additionally, the garage contained refrigerators and various food supplies. The left side of the garage has couches which is covered with white sheet and boxes of incontinent supplies. While inspecting the kitchen refrigerator, LPA found three bottles of medication (M1) placed in a plastic Ziploc bag labeled with a resident's name on the left door storage shelf. On the right door's top shelf, another medication (M2) belonging to a different resident was observed, along with a medication (M3) that belonged to the Licensee. {1 of 2} Interviews were conducted with S1 and the Licensee during the visit. Both confirmed that no staff members are using the garage as a bedroom. The Licensee indicated they work the night shift from 7 AM to 7 PM to provide overnight supervision, emphasizing that they do not have live-in staff. Further interviews clarified that the mattresses stored in the garage belonged to residents prior to them acquiring hospital beds. The couches that were previously in the family room have been relocated to the garage, as residents now have their own reclining chairs. During the discussion with the Licensee, they expressed their commitment to cleaning and organizing the garage to ensure it does not appear to be used other than as a garage. The Licensee assured LPA that they would inform the Department in advance if they ever decide to convert the area into a room or an office. The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiencies may result in civil penalties. During the exit interview conducted with Aida Gatchalian, LPA read this report and discussed deficiencies and plan of corrections and and a copy of this report and appeal rights were provided. {2 of 2}