Routine inspection·August 28, 2023

Licensing Program Analyst (LPA) Jacqueline Shaw Ross conducted an unannounced visit to the facility for the purpose of an annual inspection. LPA was greeted by caregiver Sorolen Blancquisco and explained the purpose of the visit. A tour of the facility was conducted inside and out. At the time of visit, there were six (6) clients home and two (2) staff present. Licensee Zaldy Balanquit arrived shortly. The facility serves six (6) non-ambulatory elderly residents; ages 60 and above. Facility is also approved to provide hospice care for two (2) out of the six (6) clients. The facility is a five (5) bedroom three (3) bathroom one story home. Two bedrooms are shared by two (2) clients, two bedrooms are private, and one (1) bedroom is reserved for staff. During the tour the following was observed: Clients bedrooms had the required furnishings and were observed to be in good condition. Bathrooms had required signage, hand rails, non-slip mats. Night-lights were observed in the hallways. Fixtures and furniture for an operational facility are present and in good repair. All passageways were free of obstructions, charged fire extinguishers and the fire alarm system was operable, medications are kept centralized and locked, hazardous chemicals are locked and inaccessible to clients. Hot water was tested and measured above 120 degrees Fahrenheit and LPA observed warning signs posted in each bathroom. Licensee stated they have adjusted the hot water temperature several times and will continue to monitor it. Licensee has placed warning signs in each bathrooms for staff and clients in the meantime. Care & Supervision : Facility has sufficient care staff employed. Administration: Emergency exiting plans, telephone numbers and Ombudsman information and other required signage are posted throughout the facility. Drills are conducted quarterly. Record Review and Client/Staff Files: LPA reviewed current staff and all staff have has Criminal Background Clearance, current CPR/First Aid certification, and trainings are current. Client records were reviewed and contained required documents including current physician reports, admission agreements and care plans. Medication Review: LPA reviewed medication and medication log. Residents' medications are being dispensed according to physician's orders. No deficiencies were cited per Title 22, Division 6 of the California Code of Regulations at this time. An exit interview was conducted and a copy of this report was provided to Licensee, Zaldy Balanquit.