Routine inspection·May 4, 2023

On May 4, 2023 at approximately 9:30am, LPA Jennifer Fain and LPA Maja Jensen arrived at the facility unannounced. LPA's Fain and Jensen met with Maravic Teano-Chua and explained the purpose of today's visit. Licensing Program Analysts (LPA's) Maja Jensen and Jennifer Fain conducted a Required 1 year annual inspection. LPA's met with Administrator, Maricel Yapo and Licensee Maravic Teano- Chua. LPA's, Licensee and administrator toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. A comfortable temperature is maintained at 69 degrees Fahrenheit. LPA's observed lighting in all rooms is adequate for the comfort and safety of the residents. There is a minimum of a seven day supply of nonperishable and two day supply of perishable foods. Smoke detectors and carbon monoxide were in operating condition during inspection. Fire extinguishers were last serviced on 5/4/2023. First aid kit was observed to be complete. Fire drill was last conducted on 4/22/2023. LPA's observed hot water temperature in resident room sink measured at 105.5 degrees F. Current copies of the following documents were observed on wall near desk: LIC 308 Designation of Administrative Responsibility, Administrator Certificate, and Facility Sketch. Continued on 809C... LPA's Jensen and Fain observed significant ceiling damage in three bedrooms including two areas of ceiling covered by tarp and held in place by wood strips. The area cover by a tarp was approximately 4 feet by 5 feet. LPA's Fain and Jensen interviewed Administrator Maricel Yapo- Teske who advised the ceiling damage was a result of a leak in the roof. Administrator Yapo- Teske provided contract for roof repair . LPA's Jensen and Fain observed water pooling in sink in resident room during water temperature check. LPA Jensen reviewed 5 of 26 resident files. One of five resident files contained notes regarding a resident that was sent to the hospital in April of 2023 with an urgent medical condition, however, no incident report was received by the Department. LPA Jensen reviewed 2 of 4 staff files. Which were determined to be complete and in compliance. The grounds were observed to be maintained, clear of debris and all pathways were clear of obstruction. There is outdoor furniture and a shaded area for outdoor activities. Deficiencies are being cited from the California Code of Regulations (CCR) Title 22. Failure to correct deficiencies may result in the assessment of Civil Penalties. An exit interview was conducted and a copy of this report and Appeal Rights were provided.