Routine inspection·May 9, 2024

On May 9, 2024, at 8:45 AM, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct the Annual 1-year required visit. LPA Calandra was greeted by Lucila Panganiban, Caregiver and explained the purpose of the visit. LPA Calandra toured the physical plant. This is a 3-story building which consists of a kitchen, living room, dining room, 3 bedrooms, a staff bedroom downstairs, backyard, and 2 full bathrooms. All hallways, passageways, and the backyard were observed to be free of hazards and obstructions. All bedrooms had the required furniture and sufficient lighting. The facility was maintained at a comfortable temperature of 74 degrees Fahrenheit. Hot water temperature in all bathrooms was measured between the required 105-120 degrees Fahrenheit. Bathrooms were equipped with the required grab bars and floor mats. Fire Alarms and Carbon Monoxide detectors in the facility were observed to be in working condition. Fire extinguishers were observed to be fully charged and a copy of the purchase receipt was provided to the LPA by caregiver, Lucila Panganiban. All food was observed to be in good condition. No food was expired. The facility had the required 7 days of non-perishables and 2 days of perishables on site. The washer and dryer were observed to be in working condition. All soap, detergent, and cleaning supplies were observed to be locked and in-accessible to persons in care. All knives and sharp objects were observed to be locked and in-accessible to persons in care. LPA Calandra reviewed 4 client records and 5 staff records. All client records were observed to have incomplete LIC 602-Physician's reports that were unsigned. LPA Calandra interviewed 2 residents and 1 staff member. 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 department: -The facility's Liability Insurance -The facility's current lease agreement -Updated LIC 500 -LIC 503/Health Screening Reports for all staff Type B Violations were provided for incomplete Physician's reports and dressers in resident bedrooms that were in disrepair. A Technical violation was provided for not having a facility sketch that shows evacuation routes. 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. This report was reviewed with Lucila Panganiban, Caretaker and a copy of the report along with Appeal Rights left at the facility.