Routine inspection·February 14, 2024

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with Licensee (LN) Felina Roque. During the visit, LPA observed 11 residents and 3 staff. LPA toured the facility inside out with LN which included the Living room, kitchen, dining room, 3 restrooms and 9 residents bedrooms. The staff area of the facility was also inspected. The front yard and backyard were inspected. There was no obstruction to block the walkways. Two-day perishable food supplies and seven day nonperishable food supplies were observed. LPA observed the medication storage area, knives storage area, and cleaning product storage area as locked and inaccessible to residents in care. Room temperature was at 70 degrees F, and hot water temperature was measured at 118 degrees F in resident bathrooms. Fire extinguisher was serviced in October 20, 2023. The facility was equipped with smoke and carbon monoxide detectors. Smoke detectors was tested by LN, and were functional. LPA observed facility first aid kit and requested to review facility fire/earthquake drill log. LN stated the last drill conducted was last month, but LN stated they don't have a log. LPA reviewed facility records for 3 residents. While reviewing residents R1-R3 records, LPA observed R1 and R3 did not have a weight record. Resident R2 is missing two months of weight record documentation. LPA reviewed 3 resident medications and centrally stored medication records. LPA reviewed facility records for 3 staff. LPA conducted interviews with 2 staff (S1 to S2) and 2 residents (R1-R2). Deficiencies are being cited during today's visit, see LIC 809-D. This report was reviewed with Licensee Felina Roque and a copy of the signed report was provided. Appeal Rights were provided.