Routine inspection·March 29, 2024

Licensing Program Analyst (LPA) Amy Rodgers, made an unannounced visit to conduct the required One-Year Inspection to ensure substantial compliance with Title 22 regulations. LPA Rodgers was granted entry into the facility by Care Giver Sherwin Sanchez, after identifying herself and stating the purpose of the inspection. Later Licensee Virgilia Rebosura joined the visit. LPA was accompanied Licensee Virgilia Rebosura during a tour of the facility. Tour was conducted inside and out and included a sample of resident bedrooms as well common areas. No bodies of water are on premises. Passageways were free from obstructions. According to Licensee Rebosura there are no weapons and/or ammunition stored on the premises. No delayed Egress or secured perimeter doors were present. Resident's room temperatures were within a comfortable range. Each resident had clean and sufficient bed linens. All extra linens, towels, and washcloth were present All residents’ rooms were equipped with required furnishings. Lighting was present in the bedrooms. Residents’ bathrooms were observed to be sanitary and operational. Toilets and showers were equipped with grab bars. Hot water temperature in residents’ bathrooms were compliant. [CONTINUED ON LIC 809-C] CONTINUED FROM LIC 809] Facility has a two-day supply of perishable food and a seven-day supply of nonperishable food items. Food was observed to be properly stored and labeled. Chemicals and cleaning supplies were stored in a locked closet and outside storage area. The medication is secured and is in a locked medication cabinet and medications were labeled and kept in compliance with label instructions. Staff records review verified that all staff records were complete and compliant. Staff records review verified that all staff have a current First Aid certificate and CPR certificates Resident records were reviewed and confirmed compliant. Administrator’s certification is current. LPA reviewed the theft and loss policy and procedures. LPA interviews with Director Rebosua confirm residences are provided with assistance necessary for medical and dental appointments. LPA reviewed the theft and loss policy and procedures. No deficiencies were cited at the time of visit. LPA observed that residents were being treated with dignity by staff, and there were sufficient staff on duty to meet resident’s needs. An exit interview was conducted, this report was discussed with Licensee Virgilia Rebosura , a copy along with Licensee/Appeal Rights (LIC 9058 01/2106), and their signature on this form acknowledges receipt and a copy of the report was given to the Licensee Virgilia Rebosura..