Routine inspection·October 17, 2024

Licensing Program Analyst (LPA) Iby Strong conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Caregiver Aidelubia Herrera. Assistant Administrator Areli Cubillas arrived shortly after. According to the facility’s license, the facility has a maximum capacity of six residents, of whom all may be non-ambulatory and 1 may be bedridden. LPA toured the interior and exterior of the facility and inspected each room. The facility was sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. Water temperature was measured at 109 degreed F. Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons accessible to residents. Medications were labeled, as required, but kept in an unlocked cabinet. Additionally, medications had been pre-poured into a separate container and sitting in cabinet. No pool of bodies of water are present. Per Areli, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher was present. First aid kit(s) were complete and readily accessible. Resident records reviewed had required documentation. Staff records reviewed contained required documentation. One technical violation was issued today for pre-pouring of medication, and one deficiency has been issued for unlocked medications per California Code of Regulations. An exit interview was conducted with Assistant Administrator, to whom a copy of this report LIC 809-D, LIC9102, and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.