Routine inspection·November 15, 2024

On 11/15/24, Licensing Program Analyst (LPA) Renee Campbell arrived to the facility to conduct an annual inspection. LPA Campbell met with Licensee Maxima Martin and explained the purpose of the visit. Administrator Michell Obtinalla's administrator certificate (# 6066972740) is current and they are associated to the facility. Upon arrival, LPA Campbell observed a one story house surrounded by a white metal fence with sliding access that could be pushed open. The facility is licensed to served 6 ambulatory residents who are 60 and over. Of the 6 residents, 5 may be non-ambulatory and 1 may be bedridden. There is a hospice waiver for 6. The home has four resident bedrooms, 2 bathrooms and a staff room. The entrance of the facility opens into a living room with a couch, mirrors and coffee table. There is then a kitchen and TV room. One resident was observed watching television and singing along with a song. Two informational posters were observed. They included a "See Something, Say Something" poster and a "Long Term Care Ombudsman" poster with contact information. The refrigerator contained three days of perishable foods. One staff was observed mopping the hallway leading to residents rooms. LPA Campbell toured the rest of the facility and observed 6 residents in four bedrooms. Bedroom #2 had a single resident. The rest of the residents were paired up to share. The staff room contained the washer and dryer, cleaning products and the pantry for the facility. There were enough non-perishable foods to last 7 days. All rooms were free of odor and debris. Pathways were unobstructed. A thermostat was set at 68 degrees Fahrenheit (F)  which is within the required range of 68 and 85 degrees. A fire extinguisher in the living room was last inspected on January 8, 2024. The facility sketch reflects that no changes have been made to the facility structure. Smoke and carbon monoxide alarms were tested and found to be functioning. Water from the bathroom faucet was observed to be 110.1 degrees F and water from the kitchen faucet was measured at 116.7 degrees F. Both measurements are within the required range of 105 and 120 degrees. During a tour of the backyard, LPA Campbell observed an orange tree bearing fruit. The fire exit was without obstruction. There was a shaded seating area directly outside of the sliding glass doors and several plants ran along the fence border. The backyard was free of debris. LPA Campbell reviewed 5 of 6 client files and 5 of 5 staff files. All clients files were found to be complete. One of the staff files were found to be incomplete, lacked fingerprint clearance and was not associated to the facility. During the visit, LPA Campbell found that the staff person had an incomplete application. Based on today's inspection, per the California Code of Regulations, Title 22, Division 6, Chapter 8, deficiencies were observed or cited and noted on LIC 809D. Note that failure to correct any deficiencies will result in additional civil  penalties.