Routine inspection·February 15, 2024

Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced annual visit to the facility. LPA met with Leticia Cerdenio, 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 (2) residents in care. The facility has a hospice waiver for (3) residents and currently has no residents on hospice care. LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: Physical Plant: 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 self-latching gates. The facility has sufficient lighting and is maintained at a comfortable temperature. Resident’s bathrooms were operating in safe and sanitary conditions. The hot water temperature in residents' bathrooms measured 106 degrees F. Resident’s bedrooms have sufficient lighting and furniture in good repair. The facility has operating telephone service and laundry equipment. The facility has posted in a common area, Ombudsman poster, facility license, evacuation exit plan and emergency telephone numbers. The facility has a visible fire alarm system; however, the Administrator stated she does not know how to test the fire alarm and does not have record of when the new alarm system was installed and/or tested. Deficiency cited. Food Service: Facility has sufficient non-perishable and perishable food supply for residents in care. The refrigerator and freezer are operating in a healthful manner. Pesticides and other cleaning solutions were kept locked and stored away from food areas. Care & Supervision : The facility has 24 hour/7 days a week care staff. Staff working have criminal record clearances or exemptions through the Department. Record Review: Staff files reviewed were observed to be complete. Resident files reviewed were observed to be complete. Administrator’s certification expires on 7/8/24. The facility's liability insurance is current. Medical Related Services : LPA observed medication was kept locked. LPA observed resident's a.m. and p.m. medication placed in a unlabeled plastic container. The Administrator stated that the medication had been refused by the resident. The Administrator stated that the medication has been discarded. Deficiency cited. Based on observations and record review, Deficiencies are being cited per Title 22, Division 6 of The California Code of Regulations. An exit interview was conducted where reports LIC809, LIC809-C, LIC809-D and LIC9102 were discussed. Copies of the reports with Appeal Rights were provided to the Administrator at the conclusion of the visit .