Routine inspection (multi-day)·May 6, 2024

Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced visit to complete the Required 1-Year Visit from May 3, 2024. LPA was greeted by, Caregiver, Melvin Mesa. LPA met and discussed the purpose of the visit with the Administrator, Mesa. All staff present have a current criminal record clearance. Licensee applied for increased capacity from two (2) non-ambulatory residents to four (4) non-ambulatory residents. Fire Clearance was approved on June 23, 2022, for a total capacity of six (6) of whom four (4) may be non-ambulatory. As of today, there were two (2) residents in care of whom one (1) was non-ambulatory. LPA toured the facility and discussed with the Administrator regarding operation. On May 3, 2024, LPA, accompanied by Administrator, Mesa, toured the interior and exterior of the facility and inspected each room. The facility was in good repair. Some areas of the facility, bathrooms, and kitchen were observed with clutter, and the floors and area rugs were dirty. Some areas inside and outside the facility were observed with clutter, however, hallways were free of obstruction and slip hazards. No immediate safety risk was observed. Residents’ bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. There were at least 2 days of perishable food, and at least 7 days of non-perishable food present, all safely stored. The food sitting on the kitchen counter accessible to residents contained items with expiration dates dating back to 2021 and 2022. (Continue at LIC 809C) (continue from LIC809) The licensee discarded expired food during the visit. The refrigerator was observed with spoiled food in unmarked containers which were also discarded during the visit. It was observed that cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, or open-faced heaters accessible to clients. Medications were labeled, as required, however, the medication for one resident was not centrally located in the designated storage area. In addition, it was observed that old medication had not been discarded as required. The facility had no pools of water on the premises. Per staff, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. The facility fire extinguisher was serviced in April 2024. First aid kit(s) were observed to be complete and accessible as required. Required licensing postings were observed in visible areas of the facility. The room temperature in the facility was comfortable at 70 degrees. LPA interviewed staff and residents and reviewed multiple staff and resident records/files. LPA interviews did not raise any licensing concerns. The files that LPA reviewed contained the required documents. However, the residents’ Physician’s Reports and the Appraisal/Needs and Services Plan were not updated as required by Title 22 regulations. Confidential records were stored in locked areas. During today’s visit, LPA observed via measurement with a thermometer device, that hot water temperature at taps accessible to clients complied with regulations. Water from the kitchen sink reached 110 F. The licensee did not have proof of current/active business liability insurance. Deficiencies were cited per California Code of Regulations, Title 22 (refer to the attached LIC 809-D pages). Plans of Correction were jointly developed with the licensee. An exit interview was conducted with Administrator, Cecilia Mesa, to whom a copy of this report, LIC 809D and LIC811 and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.