Routine inspection·October 22, 2024

On 10/22/2024, Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. Upon entrance, LPA met with caregivers Imelda Silo and Zenaida Tarrazona and LPA explained the purpose of the visit. Caregivers contacted the lead caregiver, Rosita Padolina of LPA's inspection who arrived shortly thereafter as well as the administrator, Katie Eiseman. The facility is licensed for a capacity of 6 non-ambulatory residents of which 3 may receive hospice care services. There are 3 residents receiving hospice services at this time. LPA toured the facility inside and outside including the bedrooms (4 private and 1 shared rooms), 2 full- bathrooms, kitchen, living room and common areas. The facility observed to clean, tidy and in good repair. Bedrooms were equipped with the required furniture for residents to use. Bathrooms are equipped with grab bars, and in good condition. Facility temperature is comfortable. Hot water temperatures in the kitchen and bathroom was measured at 105- 110 degrees F. LPA observed 2-day perishables and 7-day non-perishables. LPA observed a pull alarm system, fire extinguisher(s), smoke and carbon monoxide detectors in the facility. Fire extinguishers were last inspected on 8/8/2024. Central stored medication, toxins and sharps objects were observed to be locked and inaccessible to residents. A review of (6) resident files was conducted and noted on the LIC 858. A review of (3) staff files was conducted and noted on the LIC 859 During the tour of the facility, LPA observed a table, folding chairs and personal belongings in the garage and according to staff, the garage is being used as staff breakroom. 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 civil penalties. This report is reviewed and discussed with the administrator. A copy is provided and the appeal rights.