Routine inspection·April 3, 2025

Licensing Program Analyst, LaVette Farlow, (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 Administrator, Margarita Pleitez; introduced self and stated purpose of the visit. LPA was invited inside facility and provided space to work. 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 at 117.4 and 121.5 degrees F. The facility does have a notice posted caution hot water, in the residents restroom. The facility is equipped with operating smoke detectors and carbon monoxide alarms. LPA observed two fully charged fire extinguishers. 1 of the 2 fire extinguishers did not have tag of last inspection, which was dated 4/2024. 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. During the tour LPA observed medication in the garage that was not centrally stored and locked. The administrator stated it was medication from a resident that is no longer in the facility. Although the medication was inaccessible to residents it was not properly destroyed. A technical violation was issued. Yards/Outside: One shaded patio, with sufficient number of chairs for residents in care. The backyard is free of any bodies of water. All outdoor pathways were free of obstructions. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. LPA observed that 3 out of 4 staff members working in the facility have criminal record clearance through the department. One staff member background clearance is in process and not cleared. A deficiency with civil penalty was cited. Record Review: LPA reviewed 3 out of 3 resident files for admission agreements, updated physician reports, and needs and services plans. LPA observed 2 out of 3 residents were missing the physician report, and needs and service plans. LPA requested 4 staff files. LPA was reviewing the files for First Aid/CPR certification, criminal record clearance, training, and health screenings. LPA observed the administrator did not have a file available for review. Also, 2 out of 3 staff were missing health screening, TB test, application an job description. Medications were audited at random and LPA observed the MARS is not accurately maintained. LPA reviewed the record and observed missing signatures, and date medication was issued, and facility did not have accurate records of which medication are being dispensed by staff. The review of the records revealed medications were not listed on the MARS. LPA observed the facility does not maintain an accurate file for 3 out of 3 residents. Also, LPA reviewed the facility's insurance coverage, emergency disaster plan, infection control plan and emergency drills. LPA observed the facility is not conducting quarterly fire and emergency drills. A deficiency was cited. Five deficiencies, two technical violation, one technical advisory, and one civil penalty were cited during this visit. An exit interview was conducted where this report LIC809, LIC809C, LIC809D, LIC9102TV, LIC9102TA, LIC421BG, and appeal rights were discussed and copies were provided to the Caregiver AJ Espino.