Routine inspection·September 9, 2024

On 09/09/24 Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to conduct a 1 year required visit annual inspection. LPA was greeted and granted entry by Caregiver Diosdado Delena where LPA explained the purpose of the visit. At the time of the visit there was (1) staff and (4) residents present. LPA conducted a tour of the interior and exterior and observed the following: The facility is in need of overall cleaning as there were trails of ants crawling in the dining room area, cob webs with spiders both alive an unalived on the walls and floor, multiple flies flying around and sitting on the kitchen table, the smell of urine, in addition there was dried puddles of urine on Resident #1 (R1) bedroom floor . Deficiency cited. In the kitchen LPA observed for the refrigerator to have a red magnetic lock. The facility does not have an approved waiver on file to have a lock on the refrigerator. Per the administrator the purpose is to minimize the residents from increasing their sugar intake. Per the file review there was no Doctor that had prescribed any of the residents with a specialized diet. Deficiency cited. LPA conducted a review of contact information and observed for the facility to not have a telephone on the premises. Deficiency cited. The medications are stored in a locked cabinet, that is stored in the hallway heading to the kitchen. LPA observed for the medications being stored in weekly increments, rather than in the original packaging. Deficiency cited. There are no known guns or ammunition, or pools or bodies of water on the premises. LPA conducted a file review on both staff and resident files. The administrator Raymond Ramirez, Administrator certification expired on 07/29/24, however proof of renewal was provided. The resident files were observed to have medical assessments and appraisals. The smoke and carbon monoxide detectors were tested and were found to be operable. The facility is conducting drills on a quarterly basis, the last drill was conducted on 7/31/24.Based on today's inspection citation's will be issued on the attached 809D, 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, LIC 9098 Proof of Corrections form, appeal rights and LIC811-Confidential names list was provided to Raymond Ramirez, Administrator.