Routine inspection·January 26, 2024

On 1/26/24, Licensing Program Analyst (LPA) M. Medina made an unannounced Annual Required inspection. LPA introduced self, stated purpose of visit, and allowed entrance by care staff. LPA met with Licensee, Fe Literator-Hilario. Fe also serves as facility Administrator Certificate #6029517740. Currently, six (6) residents in care. All residents were present during inspection. Residents observed relaxing in the living room, watching television. Facility tour began in resident bedrooms. Rooms observed to have all required accommodations. All areas of the facility have sufficient lighting. Residents bathrooms observed to be clean and in good repair. Bath/tub are have non-skid mats and grab bars. Dining room and living room have adequate seating and lighting for all residents in care. Tour of kitchen conducted. LPA observed adequate food supply for the residents in care. LPA observed leftovers stored in the refrigerator and/or freezer observed to be properly stored and labeled. Medications observed to be locked in small cabinet in kitchen. Smoke Alarms and carbon monoxide detectors observed to be operational during time of inspection. Fire extinguisher has a service date of 4/03/2023. Last fire drill conducted on 12/15/2023 according to facility records. All cleaning supplies observed to be locked and secured under kitchen sink. Outside areas toured. All exits open freely and observed to be free of obstruction. LPA observed side gate that exits to front of facility is not self latching. No hazards observed. The following documents were submitted to San Bruno Regional Office in September 2023: LIC 308, LIC 400, LIC 500, LIC 503, LIC 610E, Administrator Certificate, Liability Insurance. Exit interview conducted with Administrator. Deficiency cited on the attached 809-D. A copy of this report provided to Administrator for facility records.