Routine inspection·March 14, 2022

Licensing Program Analyst (LPA) Ruth Wallace conducted unannounced Required 1 Year Annual Inspection today, LPA met with Administrator, Merceditas Galito (Certificate #: 6002571740 expires 06/28/2023). There are currently four residents who reside at this facility. This facility has a hospice waiver for 2 residents and currently one resident is receiving hospice care. LPA inspected the interior and the exterior of the facility including the common living spaces, Five resident bedrooms and three bathrooms, kitchen, and staff room. Bathrooms and bedrooms were clean and in good repair. LPA toured the backyard and all exits are accessible and unlocked. There is a locked storage for medications and toxins. Food supply is adequate for two day perishable and seven day nonperishable. Fire alarms were checked and found to be in working order. Fire Extinguishers expire May 11, 2022. LPA observed an adequate amount of linens and found the first aid kit to be complete. LPA reviewed four of four resident records and three staff records. LPA reviewed medications of three residents comparing with Centrally Stored Medication Record and physician orders. A review of staff records indicates that all facility staff has received criminal record clearances and/or are associated to this facility. Staff records reviewed indicated current first aid certificates and training completed. Liability insurance for the facility is current. Per California Code of Regulations (CCR's) - Title 22, Division 6, Chapter 6, no deficiencies are being cited during this visit. Exit Interview conducted and copy provided to Administrator.