Routine inspection·September 19, 2024

On September 19, 2024, Licensing Program Analyst (LPA) Kiran Jain arrived at the facility at 12:50 PM to conduct the Annual 1-year required inspection. LPAs met with Julieta Jornales Biagi, House Manager and Kervin Ong, Caregiver, and explained the purpose of the visit. LPA toured the physical plant and observed it to be clean and odor-free at a comfortable temperature. This is a two-story building with 5 resident bedrooms, 2 bathrooms, and a kitchen with dining on the first level. The second level has 1 resident room, 2 staff rooms, and 2 bathrooms. The attached garage on the first floor was observed to have a washer and dryer for laundry and extra food supply storage. 3 exit doors were observed at the facility. Auditory devices to monitor exits were observed to be operational. All exits and walkways were found to be unobstructed and clutter-free. No accessible bodies of water or fire safety/tripping hazards were observed. The fire extinguisher was fully charged and last serviced on 02/12/2023. The smoke detector and carbon monoxide detector were fully operational. All rooms were observed to be clean with the required furniture and sufficient lighting. At 1:26 PM, LPA observed a bathroom cleaner placed on a side table in Resident room #3, which poses immediate health risk to the person in care. The bathrooms were observed to be clean and equipped with non-skid mats, trash cans, grab bars, liquid soap, and paper towels. At 1:35 PM, LPA observed Toilet bowl cleaner was observed near the sink in resident's bathroom, which poses immediate health risk to the person in care. At 1:40 PM, the hot water temperature was measured in the residents bathroom sink at 131.9°F , which poses immediate health risk to the person in care. At 1:52 PM, LPA observed toxins, cleaning supplies, and sharp objects were not stored/locked properly in the kitchen and accessible to the residents, which poses immediate health risk to the person in care. At 1:58 PM, LPA inspected the refrigerator and observed expired milk dated 09/14, which poses immediate health risk to the person in care. The facility had the required 7 days of non-perishables and 2 days of perishables. LPA reviewed five resident records and four staff records. All were observed to be complete. At 2:50 PM, during the facility file/documentation review, there were no emergency drill logs available for LPA to review. Based on the interview with the staff, emergency drills are not conducted in the facility, which poses potential health risk to the person in care. 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 complete. The following updated forms are requested to be submitted to CCLD by 09/26/2024: · LIC 500: Personnel Report · LIC 308: Designation of Facility Responsibility · Administrator Certificate · First Aid Certificate(s) · Liability Insurance The deficiencies are cited under the California Code of Regulations, Title 22. Failure to correct the deficiencies may result in civil penalties. An exit interview was conducted. This report was reviewed with Julieta Jornales Biagi, House Manager and Kervin Ong, Caregiver, and a copy of this report along with appeal rights was left at the facility.