Routine inspection·June 25, 2024

On June 25, 2024, Licensing Program Analyst(LPA) John Calandra arrived at the facility at 9:05 AM to conduct the Annual 1-year required inspection. LPA Calandra was greeted by Marlon and Luzviminda Madraga, Caregivers and explained the purpose of the visit. LPA Calandra toured the physical plant. This is a 2-story building with 9 bedrooms, 4 bathrooms, a sun porch, kitchen, dining room, 2 living rooms, pantry, garage, TV room, and backyard. No accessible bodies of water or hazards were observed in the hallways or backyard. The facility had the required furniture and sufficient lighting in all bedrooms. The facility Carbon Monoxide detectors were observed to be in working order. All fire extinguishers were observed to be fully charged but last inspected in 2022. All taps in bathrooms delivered hot water between the required 105-120 degrees Fahrenheit. The facility bathrooms had the required non-skid floor mats and grab bars. The facility had the required 7 days of non perishables and 2 days of perishables on site. No food was expired. The facility's first aid kit had the required tweezers, bandages, scissors, and other items. The facility was maintained at a comfortable temperature of 70 degrees Fahrenheit. LPA Calandra reviewed 5 resident records. All were observed to be complete except for 2 residents' files, R1 and R2's files which were missing Annual Needs and Services Plans. LPA Calandra also reviewed 6 staff files. All were observed to be complete. LPA Calandra interviewed 2 residents and 1 staff. A review of Centrally stored medications indicated that medications for residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication Records(CSMR) kept at the facility. LPA Calandra requested the following documents be sent to the Regional Office: - Proof of Liability Insurance - Articles of Incorporation - Administrator Certificate - updated LIC 500 Sharp objects were observed to be accessible to residents in the kitchen. In the presence of the LPA, Luzviminda Madraga locked up said sharp objects. A Type A violation was provided for not ensuring that soaps, detergents, and other cleaning supplies were locked and in-accessible to persons in care. A Type B violation was provided for not having Annual Needs and Services Plans for R1 and R2. A Type B violation was provided for not conducting a quarterly emergency drill and documenting said training. A Type A violation was provided for not ensuring that fire extinguishers are inspected on an annual basis. Deficiencies are cited under California Code of Regulations, Title 22, cited on the LIC 809D. Failure to correct the deficiencies may result in civil penalties. An exit interview was conducted. This report was reviewed with Luzviminda Madraga, Caretaker and a copy of the report left at the facility along with appeal rights.