Routine inspection·July 22, 2021

Licensing Program Analyst (LPA) Arlene Garcia conducted an unannounced annual / Infection Control visit on this date. LPA was greeted by Marilyn Garcia, Caregiver (S1). LPA met with Mario Ramones (S2), and Juliett Ramones, Administrator (AD). LPA and AD, inspected physical plant including but not limited to the main kitchen, residents bedrooms and bathrooms, and dining/ living room areas. LPA observed sufficient 7 days nonperishable/2 days perishable food supplies.. Hot water temperature measured 113.7 degrees in residents bathroom. LPA observed sharps locked. Last Fire Drill conduced dated 3/10/21. Fire extinguisher maintained 6/14//2021. Fire alarm and carbon monoxide functional. LPA observed all the required poster/documents posted. LPA reviewed 3 staff and 2 resident files. Resident emergency contact complete. LPA observed all staff files complete. Administrator Certificate valid until 4/2/2022. All persons in facility fully vaccinated. LPA observed resident practicing social distancing. LPA observed 30 days PPE supply. 809 CONT. >>>>>>>>>>>>>>> 809 CONT. >>>>>>>>>>>>>>>>> LPA and AD observed centrally stored medications hallway cabinets. LPA observed bottom cabinet where emergency evacuation supplies are kept had medications stored and was unlocked. LPA observed toxins in Resident (R1) restroom stored in medicine cabinet and on counter that were not locked. LPA observed both resident rooms and staff bedroom. LPA observed hospital beds in residents room with half rails. R1 is on hospice. LPA reviewed records and found no hospital orders for R2 use of hospital bed with postural support. Per California Code of Regulations, Title 22 Division 6, Chapter 8, deficiencies are being cited today in violation of California Code of Regulations. Exit interview held with AD and a copy of report given via email.