Routine inspection·January 16, 2025

Licensing Program Analyst (LPA) Marcela Yanez and Christine Dolores-Kabarati conducted an unannounced Required 1 Year visit and met with Rhonald Aranzaso, Administrator (ADM). LPAs announced the purpose of the visit. LPAs observed 4 out of 5 resident and 2 staff. During visit, LPAs toured the facility inside and out. LPA observed the room temp was 69 degrees F. LPA toured the garage area and observed food storage areas and locked cabinets for cleaning supplies. LPA observed the kitchen area and observed locked cabinets for medications and sharp objects. The cabinet in the laundry room which supplied cleaning supplies were observed unlocked. Based on record review of 3 resident files, 1 out of 3 residents were at risk if allowed direct access to hygiene products. LPA observed perishable food supply of at least two days and a non-perishable food supply of at least seven days. LPA toured three resident bedrooms. Each bedroom had available bedding and clothing storage areas as well as functioning lights. ADM tested the smoke detectors in the hallway and found the smoke detector to function properly when tested by the administrator. LPA toured two out of two resident bathrooms. Each bathroom had available soap and paper towels and functioning lights. The water temperatures in the bathroom sinks measured with thermometer 109 to 119 degrees F. LPA observed bathroom #1 had the toilet seat missing and in disrepair and LPA also observed ants in the shower area (pictures taken). During visit, staff repaired the toilet seat. Staff cleaned the ants in the bathroom. LPAs inspected the backyard and found the exits to be clear of obstructions. LPA observed fire extinguisher was last serviced on 06/22/2023. Fire and earthquake log was reviewed and last disaster drill was on 1/10/25. LPA inspected the first aid kid and found to be complete with tweezers and gauze and first aid guide. Page 1 of 2 LPA observed spoiled fruit which contained mold fallen from tree on backyard patio area and accessible to residents in care. ADM states the residents use the backyard at least once a day. ADM was advised to ensure the moldy fruits were cleaned up. During visit staff cleaned the fallen fruit from the ground. LPA reviewed resident records for 3 out of 5 residents.. LPA reviewed 3 staff records and found them to be complete. LPA reviewed with ADM for 2 residents CSMDR and found to be complete. LPA reviewed 2 out of 3 resident P & I money with ADM and staff. 1 out of 3 resident's did not have P&I money. LPAs observed 1 resident (R3) P&I money was not accurate as the actual cash total in the resident's money bag did not total to the balance in the resident's logs. LPAs observed the facility had multiple P&I logs for this resident as recommended by the San Andreas Regional Center (SARC), however, ADM stated this recommendation was only verbal. LPAs advised ADM to track the resident's P&I money on one log to avoid confusion, unless stated otherwise in the resident's IPP and/or appraisal/needs and services plan. ADM stated understanding. Deficiencies were cited as per California Code of Regulations Title 22. This report was reviewed with Rhonald Aranzaso, Administrator (ADM) and a copy of this report and appeal rights were provided.