Routine inspection·July 22, 2025

At approximately 9:35 AM, Licensing Program Analyst (LPA) Star Stevenson arrived unannounced to conduct a required 1-Year Visit and was greeted by a caregivers. Alma Corsiga, Licensee, was contacted by phone and arrived at approximately 9:50 AM. LPA was informed there were five (5) residents in care; two (2) were away at Day Program and three (3)) were present during inspection. Facility is a Residential Care Facility for the Elderly (RCFE) with an approved dementia plan and fire clearance capacity of six (6) non-ambulatory residents and hospice waiver for two (2) residents. At approximately 10:00 AM, LPA initiated a tour of the facility and observed the following: Facility is a one-story home, was a comfortable temperature, free of odors and passageways were free from obstructions. Water temperature in clients' bathrooms measured within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed client showers with grab bars an non-slip mats as required. LPA observed a supply of clean linens, incontinent care products, and paper products available to clients. Clients' bedrooms were inspected and observed to have appropriate furnishings as outlined in Title 22 regulations. Cabinets in communal areas containing cleaning supplies and other items that could pose a risk were observed locked. Facility has at least two days of perishable foods and a supply of non-perishable foods. A large approximately one (1) foot long fish that a staff member had caught was observed to be wrapped in an absorbable cloth chux in the freezer and not stored in an air tight bag and labeled with the date per regulation (Type B) deficiency cited. Medications were centrally stored and locked. There is outdoor space for activities. LPA observed toys, games, video games, and an ipad for resident use. In addition LPA observed an activity schedule, as well as, an opportunity for residents to attend area swim programming. An approximately three inch step was observed leading to an outside activity/office building that poses a potential trip hazard and a technical advisory was issued to install a small transition step or hand railing to reduce the threat. Facility has a fire extinguisher, which was last inspected May 2025 as is fully charged. Smoke and Carbon Monoxide detectors were tested and operational during inspection. Continued on 809-C... Continued from LIC 809... At approximately 11:30 AM, five (5) of 5 resident files were reviewed and observed to have required documentation. Licensee states, facility coordinates the residents' medical and dental appointments as needed and provides transportation to and from these visits. At approximately 12:00 PM LPA initiated file review of five (5) personnel files and 2 of 5 observed, staff one and staff 2 (S1) and (S2)) had no evidence of health screening or TB testing (Type A) citation issued. In addition 2 of 5 staff files observed to be missing evidence of 1st Aid training and intial education training and technical violation issued. LPA observed medicines to by centrally stored and secure and administered correctly. P&I money was accounted for and licensee was on the phone during my inspection to secure additional surety bonding to match the amount of money safeguarded in the facility and will send in new bond to Community Care Licensing (CCL) Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, or repeat violations within a 12-month period, may result in a civil penalty assessment. Appeal rights provided to Licensee. Exit interview conducted with Licensee, whose signature on this document confirms receipt . Updated copies of the following documents are to be submitted to CCL within 30 days of this visit : LIC 500 Personnel Record LIC 9020 Register of Facility Resident’s was obtained during inspection today. Updated Surety bond for higher amount. *Updated copy of current liability insurance was obtained during inspection today.