Routine inspection·April 25, 2024

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct the facility's annual required - 1 year inspection. LPA met with Administrators, Amor and Virgil Valin. LPA toured the facility with staff to include 5 resident bedrooms, staff bedrooms, living room, kitchen, laundry room, and backyard. All fire exits were free and clear of obstruction. 2 staff members present are fingerprint cleared and associated to the facility. Fire extinguisher last serviced on 12/08/2023. Carbon monoxide detector observed operable. Fire place observed screened. Kitchen observed with at least 7 days worth of non-perishable foods and 2 days worth of perishable foods. Refrigerator temperature maintained 37 degrees Fahrenheit. Freezer temperature maintained at 0 degrees Fahrenheit. Sharp objects, chemicals, and disinfectants observed locked. Resident bedrooms observed with adequate lighting, bed, linens, dresser, and night stands. Bathroom observed with hygiene products. Shower observed with grab bars and non-slip mats. Bathroom hot water temperature maintained at 108 degrees Fahrenheit. The facility has an emergency disaster plan. The facility's last emergency disaster drill was conducted in April 2023. Facility was advised. Facility has emergency lighting. The facility has an infection control plan, however, LPA was unable to review the infection control plan in the facility. Administrator states to ensure the infection control plan will be available in the facility. LPA observed the facility's PPE supplies. SEE LIC809-C. LPA reviewed 4 residents records. 4 out of 4 resident records observed maintained to include an admission agreement, medical assessment, TB result, appraisal/needs and services plan, personal rights, consent form, and safeguard of personal property and valuables. 4 out of 4 resident centrally stored medication records observed maintained. 4 residents were interviewed during visit. LPA reviewed 4 staff files to include a 1st aid certification, health screening, TB result, personnel record, and fingerprint clearance. LPA reviewed the staff member's training records. 3 staff members were interviewed during visit. A deficiency was cited per California Code of Regulations, Title 22. See LIC809-D. Advisory note provided. This report was reviewed with Administrator Virgil Valin and a copy of the report and appeal rights were provided.