Routine inspection·March 10, 2025

On 03/10/2025 at 12:39PM , Licensing Program Analyst (LPA) Renese Howell-Small arrived unannounced to conduct the required annual visit to the facility. LPA met with staff Pat Salinas and Administrator Amparo Liwanag was contacted via telephoned and informed of the purpose of the visit. LPA greeted staff and was granted entrance into the facility. Administrator Amparo Liwanag arrived to the facility at 2:00PM and gave permission for staff to sign for completed inspection report at the conclusion of the visit. LPA informed Administrator of deficiencies. LPA was informed that there are currently five (5) residents in care. The facility has three (3) bedrooms, two (2) bathrooms, kitchen, dining area, living room, office, laundry, attached garage and backyard with 2 sheds. LPA completed a walk through of facility with Staff, Pat Salinas, reviewed records and medication audit. Physical Plant: The facility is operating in the capacity approved by Community Care Licensing Division (CCLD). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 72 degrees Fahrenheit. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, chairs and sufficient lighting. LPA inspected resident bathrooms; bathrooms were clean and appliances were found functional. Water temperatures tested at 120 degrees Fahrenheit. The facility is equipped with operational smoke detectors, carbon monoxide alarm, charged fire extinguishers and first aid kit. Posters such as; the personal rights, emergency disaster plan, CCLD complaint poster and ombudsman were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept locked and inaccessible to residents. There was a designated storage space for resident/staff files. Medications were observed to be locked and inaccessible to residents. There is no swimming pool, firearms or ammunition in the facility. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service : Non-perishable and perishable food supply is sufficient for residents in care. Dishes, cups, and utensils were also stored properly. Yards/Outside: One shaded patio, one (1) side gates with self-latching handle on the side of the house that leads into the backyard. Record Review: LPA reviewed three (3) staff and administrator files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. LPA reviewed three (3) resident files for admission agreements, updated physician reports, and needs and services plans. Two deficiencies, a Technical Violation and a Technical Assistance were given during this visit. An exit interview was conducted where this report LIC809, LIC809C, LIC809D, LIC9102 and Appeal Rights were discussed and copies were provided to Staff, Pat Salinas.