Routine inspection·October 24, 2023

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with Administrator (ADM) Joseph Anthony Oliva. During visit, LPA observed 5 residents and 2 staff on duty(not including ADM). LPA toured the facility inside out with ADM which included; the Living room, kitchen, dinning room, 2 restrooms and 6 residents bedrooms. The staff area of the facility was also inspected. Front yard and backyard were inspected. There was no obstruction to block the walkways. Two day perishable food supplies and seven day nonperishable food supplies were observed. LPA observed the medication closet, knives storage area, and cleaning product storage area as locked and inaccessible to residents in care. Room temperature was at 77 degrees F, and hot water temperature was measured to range between 112-115 degrees F in both resident bathrooms. While touring the backyard, LPA observed a tool bag (with included scissors) and a block of knives near the storage units, across bedroom # 4's outside exit (Photographs were taken). LPA asked ADM if the residents have access to the back yard. ADM stated the residents can come to the backyard. LPA also observed can of paint and can of WD-40 accessible to residents in care. (Photographs were taken.) While touring the backyard, LPA observed a two storage units. LPA asked ADM to open the one door storage unit and LPA observed it being used as storage. LPA requested ADM open the other storage unit with two doors. ADM opened the door and there was a mattress on the ground with blankets. ADM stated the storage unit is used as a "rest area" but don't sleep there. ADM stated the storage unit is a "rest area" and no one lives there. Page 1 out of 2. LPA interviewed Staff S1 and S2. LPA consulted with LPM Manzano if LPM can assist with staff interview in Filipino language (Tagalog). LPM conducted interviews with Staff S1 and S2 on the phone. S1 stated as of August 2023, he/she and his/her child stay in the storage room while waiting for his/her spouse from work who get off from work between 12am to 1am. S1 admitted he/she is resting/sleeping in storage room with his/her 6-year-old child until his/her spouse picks them up. S1 works from 7am to 3pm and often gets off late from work wherein he/she does not have a childcare, so he/she was allowed to occupy storage room. Staff (S2) was interviewed who stated that the storage room was built for their previous male staff in the facility. S2 stated that male staff gets off work early mornings wherein they opted to sleep in the living room instead of going home at dawn wherein licensee/administrator has decided to convert the storage room as a designated staff resting area until present. S2 confirmed that S1 utilizes the storage room along with his/her 6-year-old child while waiting for his/her spouse gets off from work at 12am. LPM informed S1 and S2 agreed and understood that no staff or any individual is allowed to sleep in the following areas without building permit and fire clearance such as but not limited storage room, living room, and garage. Fire extinguisher was serviced in May 03, 2023. The facility was equipped with smoke and carbon monoxide detectors. Smoke detectors was tested by ADM, and were functional. LPA observed facility first aid kit and facility fire/earthquake drill log. The facility's last drill was on December 2021. ADM stated "we haven't done one in the past year." LPA reviewed facility records for 3 staff and 3 residents. LPA reviewed 3 resident medications and centrally stored medication records. LPA conducted interviews with 3 staff (S1 to S3) and 3 residents (R1-R3). LPA and ADM discussed the storage unit. ADM agreed and understood that no staff or any individual is allowed to sleep in the following areas without building permit and fire clearance such as but not limited storage room, living room, and garage. Deficiencies are being cited per California Code of Regulations, Title 22. See LIC809-D. Exit interview was conducted with Administrator Joseph Anthony Oliva . Appeal rights were provided.