Routine inspection·April 22, 2024

Licensing Program Analyst (LPA) Mag da Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Bienvenida Tandoc Jr, Administrator , and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE) with a license capacity of (6) and a current census of (5) residents in care. The facility has a hospice waiver for (2) residents. LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: Physical Plant/Environment: LPA observed that the Licensee is not operating within the limitation of their license. The Redlands Fire Department approved the facility license for six (6) Ambulatory residents; however, the five (5) residents in care are unable to ambulate without staff assistance and/or without the assistance of a mechanical aid. Indoor and outdoor passageways are free of obstruction. The facility has no swimming pools or similar bodies of water. Outdoor shaded area is sufficient for resident activities and is enclosed with a self-latching gate.The facility has sufficient lighting and is maintained at a comfortable temperature. Resident’s showers, toilets, and hand washing areas were operating in a safe and sanitary condition. The hot water temperature in residents' bathrooms measured 107 degrees F. The facility has operating carbon monoxide alarms. The facility has sufficient linen,towels, and personal hygiene items for residents. The facility has posted in a common area, Community Care Licensing complaint poster, Ombudsman poster, Personal Rights, disaster evacuation plan and emergency telephone numbers. Sharps, disinfectants, and cleaning solutions were kept locked and inaccessible to residents in care. Food Service: The facility kitchen and dining areas are maintained clean. The facility has sufficient non-perishable and perishable food supply for residents in care. Cleaning solutions and other toxins are store away from the food supply. Care & Supervision : The facility has 24-hour, 7 days a week care staff. Record Review: LPA review of staff files reveal, staff#1 (S1) and staff#2 (S2) did not have current first aid/CPR training on file. LPA review of resident files reveal, resident #1 (R1) did not have a physician's report/medical assessment on file for review. LPA record review also reveals an e mergency drill with staff has not been conducted quarterly. The facility’s last drill was conducted was on 4/1/23. Medical Related Services : Resident’s medications are centrally stored and kept locked. Based on LPA observations and record review, deficiencies are being cited per Title 22, of The California Code of Regulations and Health and Safety Codes. An immediate civil penalty is also being assessed today and fees will continue to accrue if the deficiency is not corrected. This report was reviewed with the Administrator and a copy with Appeal Rights was provided to the Administrator and the conclusion of the visit.