Routine inspection·October 29, 2024

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an annual required – 1 yr. inspection visit for this facility and was greeted by House Supervisor, Erminda Rivera. Annual fees are current. Required postings were observed. Contact information was reviewed. LPA/House Supervisor initiated a tour of the facility approximate at 9:45am and observed the following: facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Water measured 109.2 and 108.5 degrees F which is within regulation. Auditory alarms were found operational. Resident’s bedrooms were furnished per regulation. Fire Extinguisher was found to be last charged on 7/17/24. Smoke detectors and carbon monoxide detectors throughout the facility were tested and found to be in operational. There was not sufficient supply of perishable food, LPA/House Supervisor observed three grapefruit, 1 cauliflower, half of cucumber, bag of celery, one lettuce and one cabbage in the refrigerator (photos taken). According to house manager, tomorrow is grocery shopping day. LPA had a discussion with staff about the importance to ensure at all times that residents have supplies for three snacks between meals. There was adequate supplies of nonperishable foods handled and stored per regulation. Toxins, sharps and other items that could pose threat were inaccessible to residents. There was a supply of hygiene products, continence products, paper products and clean linens available for residents. Disaster drill has not been conducted and documented within the last quarter. LPA initiated file review at 10:15am of six residents and three staff files. All resident's files have current medical assessments and care plans. All staff have current CPR/1st aid certificates and training hours complete. Medications and medication records were reviewed. Edward Gadia's Administrator Certificate 6022588740 expires on 11/20/2024. LPA was provided with the following documents: LIC 308 Designated Facility Responsibility, LIC 500 Personnel Summary. House Supervisor agreed to submit the following by 11/8/24: Copy of liability Insurance and control of property. Deficiencies are cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted with House Supervisor and a copy of this report was given.