Routine inspection·December 23, 2024

On 12/23/2024 Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. LPA met with caregiver, Rodolfo Castalone and explained the purpose of today's visit. Caregiver called and informed the Licensee, Fe Bret and the administrator, Roxanne Eduarte of LPA's inspection. LPA toured the facility's building and grounds. This is a two level home. Upper level is for facility care staff and 1st floor is for residents. There are 4 bedrooms (2 shared and 2 private) for the residents and 2 full bathrooms. All rooms for residents are non-ambulatory. Bedrooms were equipped with the required furniture for residents to use. Bathrooms are equipped with grab bars, and nonskid mats. Facility temperature is comfortable. Hot water temperature was measured at 109-110 degrees F. Food supplies were sufficient of 2- days perishables and 7- days of non-perishables. Bed sheets, linens, and towels were observed to be sufficient and able to meet the needs of the residents at this time. LPA observed sharps, central stored medication, toxins and chemical were locked and inaccessible to residents. Facility is equipped with smoke detectors and carbon monoxide detectors. . A review of (6) resident files was conducted and noted on the LIC 858. A review of (4) staff files was conducted and noted on the LIC 859. The following documents were requested submitted to CCL by :12/24/2024: - Administrator Certificate and Liability Insurance. 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 caregiver in person and administrator over the phone. A copy of this report and the appeal rights were provided.