Routine inspection·August 19, 2024

Licensing Program Analysts (LPAs) Magda Malcore and Becky Mann made an unannounced visit to the facility to conduct a required annual inspection. LPAs met with Administrator, Rolando Serquinia, 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 (4) residents in care. LPAs conducted an overall inspection of the facility, which included, but was not limited to, the following: Operation/Physical Plant: Outdoor passageways were not free of obstruction. LPA was not able to clearly walk to the side of the house without brushing against Lime tree. The facility has no swimming pools or similar bodies of water. The facility has sufficient indoor and outdoor space for resident activities. Resident bathroom equipment was operating in a safe and sanitary condition. The hot water temperature in bathrooms measured 109 degrees F. Resident bedrooms were equipped with beds, bed linen, nightstands, chairs, storage space and sufficient lighting. Facility has operating carbon monoxide alarms, signal system, and telephone service. The facility has sufficient linen, towels, and personal hygiene items for residents. Sharps, disinfectants, and cleaning solutions were kept locked. The facility has an emergency disaster plan, current disaster drill, and facility insurance on file. The facility has posted in a common area Ombudsman poster, Community Care Licensing Poster, Emergency evacuation sketch, and emergency telephone numbers. The facility has 24-hour, 7 days a week care staff. Food Service: Facility kitchen and dining areas are maintained clean. The facility has sufficient non-perishable and perishable food supply for residents in care. Facility's refrigerator has sufficient food storage space. Health Related Services: LPAs review of medications reveals medications are centrally stored in a locked cabinet and a record of resident medications is maintained at the facility. Personnel/Resident Records: The Administrator’s certification is current. Staff records were reviewed for health screenings, criminal record clearances/exemptions, first aid/CPR training certification, and training. Resident files were reviewed for emergency contacts, Admission Agreements, appraisals, medication assessments and plans. Based on observations and record review, a deficiency and a technical advisory was cited per Title 22, of The California Code of Regulations. An exit interview was conducted where this report and a plan of correction were discussed. A copy of this report was provided with Appeal Rights to the Administrator at the conclusion of the visit.