Routine inspection·December 2, 2023

Licensing Program Analyst (LPA) Christina Valerio arrived unannounced to the facility to conduct an annual required inspection. LPA was met by facility staff, and explained the purpose of the visit. LPA observed 3 staff on shift and 3 residents in care. Licensee Eva appointed facility designated administrator Maria Gitano to carry out the visit. LPA and Facility Staff Maria toured the facility physical plant to ensure compliance with Title 22 regulations. LPA observed the common areas of the home to be clean, organized, and free from debris. Facility staff have implemented infection control practices and were observed utilizing procedures. 4 resident bedrooms were observed. All resident bedrooms were clean and had no emergency exits obstructed. Resident bathroom was observed to be fully equipped with a skid matt, hand bars, soap, paper towels, toilet paper, and a trash can. Hot water was measured within the regulatory range of 105-120*degrees F. The kitchen was observed to be clean. LPA observed the facility to have a minimum supply of food items to meet Title 22 regulations. LPA also observed an emergency supply of food and water located in the garage. Toxins, medications, sharps, and cleaning supplies were observed to be locked and inaccessible to residents in care. The exterior plant was observed. The facility has a patio located in the back of the house with sufficient space for outdoor activities or visits. LPA interviewed staff and residents during the visit. Residents were observed watching television, getting ready for the day, and exercising. Staff were observed cleaning the dinning table from breakfast, assisting residents, and doing daily house chores. LPA reviewed staff and resident files. Staff files were observed to be up to date with required training. Three (3) resident files were reviewed. 2 out of 3 resident files were observed to have out of date documentation. Continues on LIC 809 - C ... ...Continued from LIC 809 The last emergency disaster drill was conducted in January of 2023. Technical Advisory was conducted for quarterly drills. LPA requested the following documentation be sent to the Regional Office: LIC 500 LIC 308 LIC 610 Liability Insurance Per California Code of Regulations (CCR) - Title 22, deficiencies were observed during this visit and can be found on the attached LIC 809 - D. Appeal Rights provided. Failure to correct deficiencies may result in civil penalties. An exit interview was held, and a copy of the report was provided to Facility staff Maria Gitano.