Routine inspection·March 11, 2025

On March 11, 2025 Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. LPA met with Caregiver, Ligaya Munoz, and caregiver, Isabelita Nojadera. LPA explained the purpose of today's visit. Administrator, Fereshteh Ehsanipour arrived shortly thereafter and assisted with the inspection. LPA toured the facility and grounds with caregiver. No accessible bodies of water or fire safety hazards observed. This is a single story facility with 6 resident bedrooms, 1 staff bedroom, 1 full bathroom and 5 half bathrooms.. LPA observed all 6 resident rooms; 1 with a full bathroom and 5 with half baths. Resident's rooms were observed to be private rooms. Bedrooms were equipped with the required furniture for resident to use, Bathrooms were equipped with grab bars, and non-skid mats. Hot water temperature was measured at 108- 117 degrees F. LPA toured the kitchen and observed 2 day perishable and 7 day non-perishable present. A comfortable temperature is maintained, lighting is sufficient for comfort. Centrally stored medications and sharps were observed to be unlocked and accessible to residents in care. Toxins, chemicals and disinfectants were observed to be locked and inaccessible to residents. Upon entrance, staff #2 was not able to provide staff and resident files for LPA to review as part of the inspection process and stated that the administrator has the key to the cabinets. This observation was identified during the annual inspection in 2024. A review of (5) resident files was conducted and noted on the LIC 858. A review of (2) staff files was conducted and noted on the LIC 859. Emergency Drills were observed to be inadequate because the administrator was not able to provide documents that it was conducted accordingly. During today's visit, an immediate civil penalty of $500 is being assess as LPA observed 3 repeat violations that were cited during the annual inspection in 2024 :87465(h)(2), 87755(c), and 1569.695(c). The administrator will provide a copy of the liability insurance to CCL by 3/12/2025. Based on observation, deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in additional civil penalties. This report is reviewed and discussed with the administrator; a copy of the report and appeal rights were provided.