Routine inspection (multi-day)·December 31, 2024

Licensing Program Analyst (LPA) Marcella Tarin conducted an unannounced Case Management - Annual Continuation Visit and met with Office Manager, Yuly Romero. This annual inspection is a continuation of the annual visit that was conducted on 12/27/2024. LPA reviewed 9 client records. 9 out 9 client records contained emergency contact information, physician's reports and needs/service plans. LPA reviewed 5 staff records. 5 out of 5 staff records included background fingerprint clearance, health screenings with TB results, and staff training. S3, S4 and S5 did not include first aid certification. S5 record was unavailable for review. Staff stated S3, S4 and S5 obtained first aid certification and will submit copies to the department. Staff stated S5 record was not at the facility. LPA advised staff to ensure all staff files were available for inspection by the Department. During tour LPA measured water temperature at 116.3 degrees F for the facility. LPA observed damaged flooring in the hallway outside bedroom #1, and damaged blinds in bedroom #5, and dark spots on the ceiling of bathroom #1, and water damaged areas on the ceiling outside bedroom #1. Facility states maintenance was notified of the damaged areas on 12/30/2024 and is scheduled to repair on 1/7/2025. LPA advised staff that the facility should be in good repair at all times for the health and safety of clients in care. See LIC809-C LPA reviewed 9 out 9 Centrally Stored Medication and Destruction Records (CSMDRs). 9 out of 9 CSMDRs were observed to be complete with all medication documented. Deficiencies were cited during today's visit per California Code of Regulations Title 22. See LIC809-D for more information. An exit interview was conducted with Office Manager Yuly Romero and a signed copy of this report and appeal rights were provided.