Routine inspection·April 24, 2025

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct the facility's annual required - 1 year inspection. LPA met with staff, Ester Honrado. Administrator/Licensees Virgil and Amor Valin was unable to meet LPA at the facility. 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. 3 staff members present are fingerprint cleared and associated to the facility. Fire extinguisher last serviced on 01/06/2025. 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 40 degrees Fahrenheit. Freezer temperature maintained at 0 degrees Fahrenheit. Chemicals observed secured. LPA observed a resident's prescription injection that was accessible inside the refrigerator. All residents are able to access the refrigerator. Staff states they do not lock the resident's injections in the refrigerator. LPA advised to purchase a lock box/bag to place the refrigerated medications inside to ensure the medication is inaccessible to other residents in care. During visit, staff placed the resident's refrigerated medication in the staff living quarters which is off limits to the residents. Staff states that after the resident self administers their injection, they place the needle in the trash. It was stated that the facility does not have an appropriate container to properly dispose of the resident's needles. LPA advised to ensure needles are disposed of properly. See LIC809-C. 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 113.5 degrees Fahrenheit. Inside 1 of the resident bedrooms, LPA observed a prescription mouthwash that was left accessible. Based on review of the resident's file, the resident is not able to store their own medication. Staff was advised to ensure all centrally stored medications are not accessible to residents in care. The facility has an emergency disaster plan. The facility's last emergency disaster drill was completed in January and April 2025. The facility has an infection control plan. LPA reviewed 3 residents records. 3 out of 3 resident records observed maintained to include an admission agreement, updated medical assessment, TB result, updated appraisal/needs and services plan, personal rights, consent form, and safeguard of personal property and valuables. 3 out of 3 resident centrally stored medication records observed maintained. 1 out of 3 resident has cash resources being maintained by the facility, which was reviewed with staff. No issues noted. LPA reviewed 3 staff files to include a 1st aid certification, health screening, TB result, personnel record, and fingerprint clearance. 3 staff are provided training in compliance with Title 22 regulations. Deficiencies were cited per California Code of Regulations, Title 22. See LIC809-D. The plan of corrections were reviewed with Administrator/Licensees Amor and Virgil Valin via telephone. This report was reviewed with staff, Ester Honrado and a copy of the report and appeal rights were provided.