Routine inspection·October 8, 2024

On October 8, 2024, Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. Upon entrance, LPA was greeted by caregivers, Glenda Tala and Hanna Soriano and LPA explained the purpose of the visit. The administrator, Rachel Belong and the house manager, Ryan Belong arrived and assisted with the inspection . LPA toured the facility inside and outside including the bedrooms (4 private rooms), 2 full- bathrooms, kitchen, living and dining rooms. All outdoor and indoor passageways were observed to be free of obstruction. Bedrooms were equipped with the required furniture for residents to use. Bathrooms are equipped with grab bars, but no nonskid mats. Facility temperature is comfortable. Central stored medication, and sharps objects were observed to be locked and inaccessible to residents. The left door of the chemical storage cabinet underneath the sink was observed to be not locked. Emergency drills, central stored medication, and staff training records were reviewed. Food supplies were observed to be adequate. Facility is equipped with smoke detectors and carbon monoxide detectors. Fire extinguisher was last serviced May 17, 2024. During today's inspection, there are 2 residents present and 2 are attending the adult day program. During the tour, LPA observed resident #1 (R1) was sitting in the wheelchair with an installed seat belt that was tied around R1's hip area. According to staff/manager, the seat belt was placed to prevent R1 from getting out of the wheelchair by him/herself. R1 was not able to release the seat belt. LPA observed both full-bathrooms have a white mental plate underneath the sink and the plates have rusty spots on it. LPA observed the bathroom by R1 has chipped paint and wood around the base board trims. A review of (4) resident files was conducted and noted on the LIC 858. A review of (2) staff files was conducted and noted on the LIC 859. 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 administrator. A copy of this report and the appeal rights were provided.