Routine inspection·June 17, 2024

***Please note this report has been amended*** Licensing Program Analyst (LPA) Javina George, made an unannounced visit for the purpose of conducting a 1 year required visit/annual inspection. LPA met with Caregiver Gerald Madla where LPA explained the purpose of the visit. The facility is licensed for a capacity for (10) residents, ages 60 and up, with an approved hospice waiver for (10). There are currently (4) residents receiving hospice services. On 4/18/2023 by Escondido Fire Department approved the home for (10) non-ambulatory residents. At the time of LPAs visit there were (3) staff and (9) residents present. All staff present have obtained proper fingerprint clearance, however Staff #1 is not associated to the facility. Deficiency cited. During today's visit LPA conducted a walk through of the interior and exterior of the facility. The facility is a single story home with (10) bedrooms and (3) bathrooms. The facility was observed to be clean, clutter and odor free. The exits and passageways are free from obstruction. The resident bedrooms were observed to had have the required furniture ( bed, chest of drawers, adequate lighting, chair). There are no pools or bodies of water, or known guns or ammunition on the premises. The facility smoke and carbon monoxide detectors were tested and were found to be operable. LPA conducted a review of facility records and observed for the facility to have no record of emergency disaster drills being conducted on a quarterly basis. Deficiency cited . The facility was observed to have a 2 day supply of perishable and a 7 day supply of non-perishable food items. The medications are stored in a locked cabinet inside the hallway, the facility utilizes Medication Administration Records (MAR) to assist with tracking the administering the resident's medications. The facility is to submit a copy of current liability insurance to the regional office. The annual fees for the facility have not been paid as of today's date and are due on or before 6/21/24. LPA will provide the PIN so that the fees can be paid electronically. Based on today's inspection a citation(s) will be issued in accordance with the California Code of Regulations (Title 22, Division 6, Chapter 8). An exit interview was conducted and a copy of this report, 809D, LIC9098-Proof of Corrections form, LIC421BGand appeal rights were provided to Gerald Madla, Caregiver.