Routine inspection·February 12, 2025

Licensing Program Analyst (LPA) made an unannounced visit to the facility to conduct a required comprehensive annual inspection. LPA met with Licensee, Teresa Baddeley and caregiver, Carmen Enriquez. The facility is a Residential Care Facility for Elderly (RCFE) with a license capacity of (6), and a current census of (6). LPA conducted a general inspection of facility, which included, but was not limited to, the following: Physical Plant: Indoor and outdoor passageways were kept free of obstruction. The facility has no swimming pools or similar bodies of water. The facility has sufficient indoor and outdoor space for resident activities. The facility is maintained at a comfortable temperature of 72 degrees F. Resident (5) bedrooms were furnished with beds, bedlinen, night stands, chairs, and lighting. LPA observed cameras mounted on the wall of each resident's bedroom. Resident (3) bathrooms were maintained clean and sanitary. The hot water temperatures in the bathrooms measured at 106 degrees F. LPA observed resident's private bathroom had a closet which was utilized to store facility's personal hygiene/incontinence products for all residents in care. The facility is equipped with smoke detectors/carbon monoxide alarms, laundry equipment, cover fireplaces and telephone service. Posters such as personal rights, the Community Care Licensing complaint poster, Ombudsman poster, facility license and the disaster plan were posted. Cleaning supplies and sharps were kept inaccessible to residents in care. Food Service: Kitchen and dining areas were maintained cleaned. Non-perishable and perishable food supply is sufficient for number of residents in care. Medications/Health related services: Medications were centrally stored in a locked cabinet. LPA asked staff #4 (S4) to assist with providing resident medication administration logs. S4 stated that the facility does not maintain record/log of when medication is administered to residents. LPA asked staff for current medication list/record, S4 stated they were not familiar with how the facility manages the medication list since they are fill-in staff for that shift. **continued on LIC809-C** Record Review: LPA reviewed (3) resident files for admission agreements, updated physician reports, appraisals, and needs and services plans. LPA observed missing authorized persons signatures on several pages of Resident #1 (R1's) admissions agreement. LPA reviewed (3) staff files for employment history, first Aid/CPR certifications, criminal record clearances, training, and health screenings. LPA observed staff#1 (S1), staff#2 (S2), and staff#3 (S3) did not have a complete health/physical screening for 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/ LIC9102) were discussed. Copies provided with appeal rights to Caregiver Enriquez at the conclusion of the visit.