Routine inspection·September 9, 2024

On September 09, 2024, Licensing Program Analysts (LPAs) Kiran Jain and Grace Donato, and Licensing Program Manager (LPM) April Cowan arrived at the facility at 12:50 PM to conduct the Annual 1-year required inspection. LPAs and LPM met with Matthew Montilla, Assistant Administrator, and explained the purpose of the visit. LPAs and LPM toured the physical plant and found it to be clean at a comfortable indoor temperature with all exits free from obstruction. This is a single-story building with 5 resident bedrooms, 1 staff bedroom, 2½ bathrooms, a living room, and a kitchen with dining. No accessible bodies of water or hazards were observed. The fire extinguisher was fully charged and last serviced on October 2023. The carbon monoxide detector were observed not working. The attached garage was observed to be clean with a washer and dryer for laundry and extra food supply storage. All rooms were observed to be clean with sufficient furniture and lighting. LPAs observed exit doors equipped with auditory alarms. The bathroom was observed to be mold-free and contained grab bars, liquid soap, and paper towels and a nonskid mat. At 1:10 PM, the hot water temperature in the bathroom sink faucet was measured at 123.8°F. At 2:15 PM, the water temperature was measured at 119.8°F. Sharp objects, detergents, poisons, and soap were observed to be locked and inaccessible to persons in care. No expired food items were observed. The facility had the required 7 days of non-perishables and 2 days of perishables. LPAs reviewed six resident records and three staff records. Emergency drills are conducted quarterly with the last drill documented on June, 2024. The resident’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. LPAs received updated Administrator Certificates for Danilo Montilla and Cynthia Montilla during the visit. The following updated forms are requested to be submitted to CCLD: · LIC 500: Personnel Report · LIC 503: Health Screening Report · Liability Insurance A Type B Violation was provided for Carbon Monoxide detector not working in the facility. The deficiency is cited under the California Code of Regulations, Title 22. Failure to correct the deficiency may result in civil penalties. An exit interview was conducted. This report was reviewed with Matthew Montilla, Assistant Administrator and a copy of this report along with appeal rights was left at the facility.