Routine inspection·July 22, 2025

At approximately 10:00am Licensing Program Analyst (LPA) Contreras arrived unannounced to conduct a required annual inspection visit. LPA was greeted by facility administrator Rosalina Lubuguin. Facility is a Residential Care Facility for the Elderly that has a fire clearance approved for six non-ambulatory residents with a hospice waiver approved for 1 resident. LPA and admin toured the building and grounds which was found to be clean and in good repair. Facility was clean and at a comfortable temperature. LPA observed all walkways and exits to be unobstructed. All required postings were in a highly visible area. Fire extinguishers were charged and last inspected 2/24/2025. Fire alarms and carbon monoxide detector were tested and operational. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable foods. Facility kitchen, refrigerators and freezers were clean, and food was stored properly. LPA observed various foods without expiration dates noted. LPA had conversation with admin to note expiration dates on all foods being stored in refrigerator. Sharps and knives were locked and inaccessible to residents. LPA observed toxins to not be secure, closet where chemicals were stored did not have secure lock. LPA observed chemicals out throughout facility including lysol wipes, Clorox and window cleaner accessible to residents (Deficiency cited, see 809-D). Outdoor emergency exit clear from obstruction. LPA observed no outdoor furniture accessible for residents. LPA had conversation with admin to ensure that outdoor furniture or chairs are residents to have outdoor activity. Facility had an ample supply of linens, towels and extra hygiene products for residents. All bedrooms were equipped with lighting, a night stand and chest of drawers. All bedrooms were clean and in good repair. Resident bathroom had required bath mat and grab bar. Water temperature accessible to residents measured within the allowable range of 105 to 120 degrees F. Disaster drills are conducted monthly with the last drill conducted on 7/02/2025. continued onto 809-C.... Continued on from 809... LPA reviewed 4 of 4 resident records. All required documentation was present. Physician reports were up to date. LPA reviewed 2 staff records. All required documentation was present. LPA and Admin conducted a spot check of medication and medication records. Medication is centrally stored in a locked cabinet. No deficiencies. LPA observed medication transferred between other containers. LPA had conversation with licensee to ensure they continue to only pour for next medication pass. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report (Retrieved during visit) LIC308- Designation of Responsibility (Retrieved during visit) Liability Insurance Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Appeal rights given and discussed with Administrator. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and report read with Administrator.