Routine inspection (multi-day)·August 18, 2023

On 8/18/2023, at 10am, Licensing Program Analysts (LPAs) Michael Bilger and Arvin Villanueva conducted an unannounced Case Management – Annual Continuation visit to continue the Annual visit initiated on 8/1/2023. LPA met with staff on duty Gyaneshwari Verma. Administrator joined shortly thereafter but had to leave due to personal matter. LPAs explained the purpose of the visit. LPAs and staff on duty toured the facility and grounds including, but not limited to, bedrooms, bathrooms, kitchen, common area and backyard. No accessible bodies of water or fire safety hazards observed. This is a single-story home with 3 resident bedrooms and 2 bathrooms. LPAs observed the living room and dining room to be clean and free from any tripping hazards. Facility has appropriate internet access available for resident use. A comfortable temperature of 75 degrees F is maintained inside the facility, and lighting is sufficient for safety and comfort of the residents and staff. During the visit, there were 5 residents present and 1 staff on duty. LPA toured the resident rooms and observed all 3 resident rooms to be shared rooms. LPA observed 2 full bathrooms to be equipped with liquid soap, paper towels, grab bars, non-skid mats, and a trash can with a fitted lid. The bathrooms were in good repair. The hot water temperature in the residents’ shared bathroom was measured between 105- and 120-degree F. LPA observed the facility has food supplies consisting of 2-day perishable and 7-day non-perishable. Sharps and medications were observed to be locked and inaccessible to residents. First aid kit was observed to have adequate supplies and accessible to staff. LPAs toured the garage and a washer and dryer and extra food supplies in the freezer. The garage is in the process of being converted into 2 additional bedrooms. {Continue to LIC809-C} {Continue from LIC809} All staff noted on LIC 500 contained criminal background clearances. LPA completed 1 staff interview. LPA observed personal rights poster.LPA reviewed the facility’s disaster plan to ensure regulatory compliance. Updated copy of LIC 308 and LIC 500, and current liability insurance were requested by LPAs to be sent to the Department.. Based on observation, interviews, and record reviews, LPAs observed 2 staff having their first aid/CPR expired. LPAs reviewed 5 residents charts and 3 staff charts. Per California Code of Regulations, Title 22, deficiencies were observed during this visit. Exit interview was held and a report was given to staff on duty, Gyaneshwari Verma.