Routine inspection·March 13, 2025

Licensing Program Analyst (LPA) Vincent Moleski and Administrative Assistant Nicholas Morisi arrived unannounced to conduct an annual inspection. LPA Moleski met with staff member Balbino Garcia and explained the purpose of the visit. LPA Moleski reviewed Garcia's staff file. LPA Moleski asked for files for both of the clients currently in care, and for a staff file for Maryimmaculate Muiruri, the licensee. Garcia said that, as far as he was aware, files were not made for either client, both of whom moved in about six months ago. Garcia could not locate Muiruri's file. LPA Moleski called Muiruri and left a voicemail for her. Garcia said that Muiruri had not been working at this facility much recently. LPA Moleski asked to see records of emergency disaster drills. Garcia said they had not been conducted. Garcia said one resident, R2, had a stage two wound on their heel. LPA Moleski asked to see R2's home health care plan, or visit notes from home health nurses. Garcia did not have either of these available. While speaking with R2, R2 said that they had diabetes, and that Garcia performed blood glucose testing for R2. Garcia admitted that he had occasionally performed blood glucose testing for R2. LPA Moleski asked to see centrally stored medication records for R1-R2. Garcia provided a centrally stored medication record for R1 from July 2024, when R1 moved in. Garcia said no additional centrally stored medication records were available. LPA Moleski observed that R2's medication, which was stored in a locked storage area, was kept in a seven-day dispenser, rather than in its originally received container. LPA Moleski toured the facility with Garcia 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 69 degrees Fahrenheit, which is within the required range of 68 and 85 degrees. The facility's water temperature measured 119 degrees Fahrenheit, which is within the required range of 105 and 120 degrees. [continued on 809-C] LPA Moleski observed first aid supplies and carbon monoxide/smoke detectors. LPA Moleski observed a minimum 2-day supply of perishable food and a minimum 7-day supply of nonperishable food. LPA Moleski observed a locked closet for the storage of medication. LPA Moleski observed locked cabinets for the storage of cleaning solutions and knives. LPA Moleski observed a fire extinguisher which had not been serviced within the last year, as required. LPA Moleski interviewed one staff member (S1) and two residents (R1-R2). This facility is hereby cited per 22 CCR Sections 87202(a), 87465(h)(5), 87412(a), 87465(a)(6), 87506(a), 87631(a)(3)(B), and 87628(a), and Health and Safety Code Section 1569.695(c). An exit interview was held with Garcia. Appeal rights and a copy of this report were left with Garcia.