Routine inspection·September 5, 2024

Licensing Program Analyst (LPA) Sarina Ramirez made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Administrator Henry Cachapero, and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE) with a license capacity of (6), a current census of (3). LPA Ramirez conducted an overall inspection of the facility, which included, but was not limited to, the following: Physical Plant/Environment: Indoor and outdoor passageways are free of obstruction. The facility has a swimming pool that is gated, locked, and inaccessible to residents in care. 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. The facility is equipped with operating smoke detectors/carbon monoxide alarms, laundry equipment, and telephone service. Resident’s showers, toilets, and hand washing areas were operating. The hot water temperature in (2) residents bathrooms measured at 107.6 and 126 degrees F, deficiency will be issued. Three (3) resident’s bedrooms had beds, bed linen, chairs, dresser, storage space and sufficient lighting. The facility has sufficient linens, towels, and personal hygiene items for residents. The facility has posted in a common area, CCLD complaint poster, Ombudsman poster, facility license, disaster facility sketch, emergency telephone numbers, house rules and activities. Food Service: Facility kitchen and dining areas are maintained clean. The facility has sufficient non-perishable and perishable food supply for residents in care. Sharps were kept locked and inaccessible to residents in care. Continuation on LIC – 809C: Care & Supervision : Facility has 24-hour/7days a week care staff. Facility staff do not have current CPR/first aid training, deficiency will be issued. Medical Related Services : Resident’s medications are labeled and centrally stored in a locked cabinet, there was no record for September 1-5 that R1,R2, and R3 were given their medications per physician’s directions, deficiency will issued. Record Review: Three (3) Staff files reviewed were observed to have health screenings and trainings. Three (3) Resident files reviewed were observed to be complete. Based on observations and record review deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809), LIC809D forms, and Appeal Rights were discussed and provided to Administrator Henry Cachapero