Routine inspection·November 14, 2024

Licensing Program Analysts (LPAs) Marcella Tarin and Kenneth Madrigal conducted an unannounced annual inspection visit, and met with Administrator Merla Banglayan. LPAs toured the facility inside and out to include kitchen, dining area, resident rooms and 2 restrooms. LPAs observed a perishable food supply of at least two days and a non-perishable food supply of at least seven days.The front yard and backyard of the facility was also inspected. All emergency exits were free and clear of construction. LPA observed the medication storage area, knives storage area, and cleaning product storage area as locked and inaccessible to clients in care. LPA's measured hot water temperature between 118 and 120 degrees F LPAs observed Tide pod detergent in a hallways closet outside of bedroom #4. LPAs advised Administrator all cleaning products need to be locked and inaccessible to residents. LPAs toured 3 resident bedrooms. 3 out of 3 resident bedrooms had functioning lights, a bed, a chair, dresser and storage room for resident's personal belongings. In R3's bedroom, LPAs observed prescription medication and medicated creams and toenail clippers in a drawer accessible to resident. LPAs advised Administrator all medications need to be locked an inaccessible to residents. The facility was equipped with smoke and carbon monoxide detectors. All smoke detectors functioned properly when tested. Fire extinguishers were last serviced on 08/11/2024. LPA observed the facility first aid kit and it was observed to be complete. The facility fire/earthquake drill log was reviewed. The facility's last drill was on 10/16/2024. See LIC809-C LPAs reviewed records for 3 staff and 5 clients, which were all found to be complete during review. LPAs reviewed 5 clients Centrally Stored Medication and Destruction Records. 4 out of 5 CSMDRs were reviewed to be completed. 1 out of 5 CSMDRs was found to not have 2 prescription refills documented. A deficiency was cited during today's visit as per California Code of Regulations Title 22. A Technical Violation was also issued. See LIC9102 for more information. This report was reviewed with ADM Merla Banglayan and a copy of the signed report was provided.