Routine inspection·December 13, 2024

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required comprehensive annual inspection. LPA met with Head Caregiver, Yanira Saldivar, was granted entry into the facility and discussed the purpose of the visit. The facility is a Residential Care Facility for Elderly (RCFE) with a licensed capacity of (12) and a current census (3). LPA conduct a overall inspection, which included, but was not limited to, the following: Ph ysical Plant: Indoor and outdoor passageways were kept free of obstruction. The facility has no swimming pool or similar bodies of water. The facility has sufficient space for resident activities and maintained at a temperature of 72 degrees F. LPA observed the covered fireplace in the living room near the kitchen area was covered in cobwebs. LPA inspected (4) resident bedrooms which were furnished with beds, bed linen, night stands, chairs and sufficient lighting. LPA observed resident #1 (R1) was utilizing a bed with half bed rails. Staff stated the R1 is no longer on Hospice and staff was not able to provide medical documentation for the use of half bedrails. LPA observed R1's ceiling fan was covered with dust. LPA inspected (3) resident bathrooms. The hot water temperatures in the bathrooms measured at 105 degrees F . LPA observed the bathroom floor and toilet in the bathroom located in near the kitchen area was not maintained clean. LPA observed bathroom sink and shower in resident #3's (R3) bathroom was not maintained cleaned. LPA observed a strong odor inside R3's bedroom. The facility is equipped with operating smoke/carbon monoxide alarms, laundry equipment, and telephone service. Posters such as personal rights, Community Care Licensing complaint poster, Ombudsman poster, facility license and emergency telephone numbers were posted in a common area. Cleaning supplies, toxins, and sharps were kept inaccessible to residents in care. There was a designated storage space for resident files. Health Related Services: Medications were labeled and centrally stored in a locked cabinet, inaccessible to residents in care. LPA observed Resident #2 (R2) was out of their prescribed daily medication. Staff stated that R2 was not given their AM medication as they are waiting for their refill; which will arrive this afternoon. Food Service: The facility has a sufficient supply of non-perishable and perishable food for number of residents in care. A weekly menu posted in the kitchen area. LPA observed kitchen counters were cluttered with dishes and pots. Kitchen stove, kitchen refrigerator (inside), compact freezer (located near dining area) were not maintained clean. Record Review: LPA reviewed three (3) resident files for admission agreements, updated physician reports, and needs and services plans. LPA record reveals all three residents did not have a current annual physician's assessment. Staff was unable to find staff files which contain first Aid/CPR certifications, job training, employee record (LIC501) and health screenings with tuberculosis results for LPA to review. During today's visit, deficiencies and technical advisories were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted where reports (LIC809, LIC809-D, LIC9102) and correction plans were discussed. Copies with appeal rights provided to Lead Staff at the conclusion of the visit.