Routine inspection·June 12, 2024

Licensing Program Analyst (LPA) Juliana Barfield conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit with Administrator Sherwin Marcos. According to the facility’s license, the facility has a maximum capacity of six (6) residents of whom all may be non-ambulatory, of which one (1) resident may be bedridden. There is an approved hospice waiver for three (3) residents. During today’s inspection, there were a total of six (6) residents and per medical records, all were either ambulatory or non-ambulatory. LPA, accompanied by Sherwin Marcos toured the interior and exterior of the facility, and inspected each room. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. 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 resident activities. Hot water temperature at taps accessible to clients were all compliant. There were at least 2 days of perishable food, and at least 7 days non-perishable food present. Cooking/dining equipment and utensils were present. There were no sharp objects, open-faced fireplaces or heaters observed accessible to clients. Medications were labeled, as required, and stored in locked areas. No pools or bodies of water were observed on the premises. Per the licensee's staff, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors and facility telephone were all working. Fire extinguisher(s) were serviced within the last 12 months. First aid kit was complete. Required licensing postings were observed in visible areas of the facility. Disinfectants/chemicals were observed in an unlocked interior facility room and exterior shed accessible to residents in care. During LPA’s visit, facility staff locked and secured all disinfectants and cleaning solutions, resolving the immediate risk. A deficiency was cited per California Code of Regulations, Title 22 (refer to the attached LIC 809-D). A Plan of Correction was jointly developed with Administrator Sherwin Marcos. An exit interview was conducted with Sherwin Marcos to whom a copy of this report, the LIC 809-D and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.