Routine inspection·June 25, 2024

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced required Annual Inspection. The facility file was reviewed prior to the visit. LPA Lopez identified herself, was granted entry by caregiver Evelia Guerta. LPA discussed the purpose of the visit with caregiver Guerta. Licensee Gemma Alegre and Administrator Stanley Alegre later arrived and joined the visit. According to the facility’s license, there may be a maximum of six (6) residents all of whom may be non-ambulatory in at any given time at the facility site. During today’s inspection, the facility’s current census is 6 residents living at the facility. There were no residents present at the facility site during the inspection. LPA, accompanied by Licensee Alegre and caregiver Guerta, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings, but one residents bed railing did not have an exception or waiver on file for approval by the Department but the facility remedied during the inspection. Doors, windows, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and activities. The facility’s ambient internal temperature was comfortable and compliant, at 78 degrees Fahrenheit (F). Hot water temperature at taps accessible to clients were also compliant: kitchen sink measured hot water at 115.2 degrees F; sink in restroom #1 delivered hot water at 115.2 degrees F; sink in restroom #2 delivered hot water at 115.2 degrees F; hot water in restroom #3 delivered hot water at 106.6 degrees F; and hot water in restroom #4 delivered hot water at 115.2 degrees F. There was at least 2 days of perishable food, and at least 7 days non-perishable food present. Cooking and dining equipment and utensils were present, and all safely stored. There were no toxic chemicals or poisons accessible to residents. Medications were properly labeled, as required, and stored in locked cabinet. The facility-maintained medication logs which LPA reviewed. [CONTINUED ON LIC 809-C] [CONTINUED FROM LIC 809] No pools or bodies of water on the premises. Per licensee Alegre, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher was present (01) and serviced within the last 12 months. First aid kit was complete and readily accessible. LPA reviewed staff and resident records. During today’s visit there were no residents on the facility premise as they were attending their respective day program. LPA visit did not raise any licensing concerns. The files which LPA reviewed contained required documents. Confidential records were stored in a locked area. Required licensing postings were observed in a visible area of the facility. There were deficiencies observed and cited during today's annual inspection and may be found on the LIC809-D page of this report. An exit interview was conducted with Licensee Alegre and Administrator Alregre to whom a copy of this report along with the Licensee/Appeal Rights (LIC9058 03/22) were provided at the conclusion of the visit. The signature below confirms the documents were received. LPA requested Licensee Alegre to submit a current Designation of Administrative Responsibility LIC 308 and Emergency Disaster Plan LIC 610-E, to the licensing office within 10 business days. Forms are available at www.ccld.ca.gov . The Personnel Report LIC 500 and Residential Infection Control Plan LIC 9282 (6/23) were updated and submitted to the San Diego Regional Office.