Routine inspection·November 15, 2024

On November 15, 2024, Licensing Program Analyst (LPA), Venus Mixson made an unannounced visit to the facility to conduct an annual licensing inspection, and met with the Administrator, Luz Velasco. The facility file review was conducted at the Regional Office and additional records were requested and reviewed on site. LPA Mixson toured the facility along with the Administrator, and inspected the facility inside and outside, and there were no obstructions to the indoor or outdoor passageways at the time of this visit. The facility is licensed to serve six senior residents and is currently operating at four residents. Physical Plant: The facility is a single-story home located at 138 Bellerive Dr, Vista, Ca. 92084, and the land- line phone number is (760) 715-0529 and is operable. LPA observed a sample of the resident's bedrooms, and each was equipped with required furniture as per Title 22. LPA inspected the facility bathrooms, and the hot water temperature tested within regulations. The bathrooms were clean, and appliances were operating appropriately at the time of this visit. The facility is equipped with operating smoke detectors, carbon monoxide alarms, and fire extinguishers, and a first aid kit with manual. LPA observed required postings such as the Ombudsman poster, "If you See Something, Say Something" and the "Personal Rights" postings were posted in a common area. The cleaning supplies and sharp items were kept locked and inaccessible to the residents. There was a designated space for the resident and staff files, and it was locked, and inaccessible to the residents. Medications : The medications were, locked, and inaccessible to the residents. The overall facility is clean, and the furniture is in good condition. The facility heating system and other appliances were operable currently at the time of this visit. Food Service: Non-perishable and perishable food supply is sufficient per regulations, and there were a variety of food types. Dishes and utensils are in sufficient supply and stored properly. Care & Supervision : The facility has sufficient staff, two staff at the time of this visit, and the staff were attentive and engaging the resident’s noon day meal, medication management, and daily activities. Records Review: LPA reviewed four resident files, three staff files, and conducted one staff interview, and one resident interview. There was Title 22, Division 6 Regulation violations observed and cited during today’s visit. Pertaining to the annual training regulations as they relate to the staff training in Hospice care to residents, missing two of the four required hours. An exit interview was conducted, and a copy of this report was discussed and given to the Administrator, Luz Velasco.