Routine inspection·July 11, 2024

Licensing Program Analyst (LPA) Bernadette Allen made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Bonna Ferrer-Caregiver who granted entry into the facility. Licensed capacity is four (6) current census five(5). LPA was accompanied by Bonna Ferrer to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected client bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors, carbon monoxide alarms and extinguishers. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. All sharps are locked in kitchen drawer. Overall, the facility is clean, in good repair, and operating in safe conditions for clients in care. The hot water temperature tested within regulation at 124 degrees F. Food Service: Non-perishable and perishable food supply is sufficient for number of clients in care. Facility has a variety of food available for clients. Dishes, cups, and utensils were also stored properly. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPA reviewed two (2) client files for admission agreements, updated physician reports, and needs and services plans. LPA reviewed two (2) client medications/MAR which were not signed by facility staff for 3-5 days this poses immediate danger to those in care. LPA also reviewed one (2) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings. There was a designated area for client/staff files. Based on the observations made during today’s visit, there was a deficiency cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809, LIC809-C and LIC809-D) was discussed and provided to Bonna Ferrer at the conclusion of the visit.