Routine inspection·February 13, 2024

Licensing Program Analyst, Amber Coleman, (LPA) arrived at the Alta Loma Gardens Residential Care #1, Residential Care Facility for the Elderly unannounced, to conduct the Annual Inspection. LPA met with Caregiver, Alvin John, Espino; introduced self and stated purpose of the visit. LPA was invited inside facility and provided space to work. Mr. Espino informed LPA the Administrator was not available at the time of the visit, but notified of LPA's visit. The current census is 6. The facility is licensed and approved for 6 non-ambulatory residents, 1 resident may be bedridden and Hospice Waiver for 4 residents. During the visit, LPA was accompanied on a tour of the facility and observed the following: Physical Plant: The facility is maintained at a comfortable temperature. Pathways inside the facility were free of clutter and obstructions. The common areas such as Living and Dining areas provide adequate seating and lighting. Resident Rooms included adequate lighting, seating, beds with required linens, night stands and appropriate storage. Resident Bathrooms contained adequate paper supplies, space, hand soap, non-slip materials and operable appliances. Water temperature was tested and observed between 105-114 degrees F. within regulation. The facility is equipped with operating smoke detectors and carbon monoxide alarms. LPA observed two fully charged fire extinguishers. The two fire extinguishers did not have tags of last inspection. Staff maintains the fire extinguishers were inspected in June 2023. LPA observed that items such as cleaning supplies, toxins, sharps, and other dangerous items were kept secure inaccessible to residents in care. The facility food supply was observed in good standing and sufficient for the amount of residents in care. Dishes, cups, and utensils were also observed and stored properly. Posters such as: Facility License, Facility Sketch, Long Term Care Ombudsman, See Something Say Something, Theft and Loss Policy, Administrator Certificate, and Resident Rights were posted in a prominent place in the facility. LPA observed Medications are kept secure and inaccessible to unauthorized individuals inside the facility kitchen. LPA requested to review facility files for staff and residents. LPA was informed that only select staff have access to such records. LPA unable to reach Administrator on file during the visit. LPA was unable to review and records during the visit which poses a potential risk to residents in care. Based on observations, deficiencies will be cited to address concerns for the facility records and accessibility. An exit interview was conducted, this report was reviewed, discussed then provided to facility representative.