Routine inspection·September 4, 2024

On September 26, 2024 at 2:35 PM, Licensing Program Analysts (LPAs) Kiran Jain and Komal Charitra conducted an unannounced visit to deliver a copy of amended LIC809-C report. LPAs met Natvidad Garcia, caregiver and Leticia Devijo, caregiver and explained the purpose of the visit. On September 04, 2024, Licensing Program Analysts (LPAs) Kiran Jain and John Calandra arrived at the facility at 09:40 AM to conduct the Annual 1-year required inspection. LPAs Jain and Calandra met with Emma Advincula, Caregiver, and explained the purpose of the visit. Cyndi Advincula, Administrator joined the visit later. LPAs Jain and Calandra toured the physical plant. This is a single-story building with 8 bedrooms, 2 bathrooms, living room, and kitchen with dining. No accessible bodies of water or hazards were observed. The fire extinguisher was fully charged and last serviced on April 2022. The smoke detector and carbon monoxide detector were fully operational. All rooms were observed to be clean with sufficient furniture and lighting. The hot water temperature in the bathroom sink faucet was measured at 112.3°F. Sharp objects, detergents, poisons, and soap were observed to be accessible to persons in care. In the presence of the LPAs, they were locked and are no longer accessible to persons in care. The kitchen sink water temperature was measured at 113.8°F. No expired food items were observed. The facility had the required 7-days of non-perishables and 2-days of perishables. LPA reviewed five resident records and five staff records. All were observed to be complete. The client’s medications are securely stored in a locked cabinet. Medication administration records (MARs) were reviewed, and no expired medications were observed. The First Aid kit was checked and observed to be sufficiently stocked. On September 26, 2024 at 2:35 PM, Licensing Program Analysts (LPAs) Kiran Jain and Komal Charitra conducted an unannounced visit to deliver a copy of amended LIC809-C report. LPAs met Natvidad Garcia , caregiver and Leticia Devijo , caregiver and explained the purpose of the visit. The following updated forms are requested to be submitted to CCLD: · LIC 500: Personnel Report LPAs received current liability insurance via email during the visit along with the current Administrator certificate. A Civil Penalty of $500 ($100/day x 5 days) for having a staff member not associated to the facility. The deficiencies are cited under the California Code of Regulations, Title 22. Failure to correct the deficiencies by the due date may result in civil penalties. An exit interview was conducted. This report was reviewed with Cyndi Advincula, Administrator and a copy of this report along with appeal rights was left at the facility.