Routine inspection·August 13, 2024

Licensing Program Analyst (LPA) Cuadra conducted an unannounced Required – 1 Year inspection and was greeted by Maria Machica, Caregiver. Administrator Al Balbuena was not available to come to the facility, but gave authorization for staff to sign the report. All fees are current as of this time. LPA/staff toured the building and grounds at 9:30 AM. The facility was found to be clean and a comfortable temperature, passageways free from obstructions. There is a minimum of a 2 day supply of perishable and 7 day supply of non-perishable food. Water temperature measured 106.7 & 105.1 degrees F which is within regulation between 105 and 120 degrees F. There was an ample supply of linens, hygiene and paper products available for residents. Toxins were inaccessible to residents in a locked cabinet in the garage. All resident's bathrooms contained necessary grab bars and non-slip floors/mats. Medication is centrally stored in a locked cabinet in a room off the kitchen area. All bedrooms are equipped with lighting and proper bedding which was clean and in good repair. Fire extinguisher was last inspected November 2023. Smoke detectors and carbon monoxide located throughout the facility were tested and operational. Exit doors have auditory alerts. No disaster drill conducted within the last quarter. LPA initiated file review at 10:00am of 4 resident and 1 staff records. Staff have required CPR/1st aid certificate and required training hours. However, other staff files were not in the facility available for review. Per Administrator, files were taken by him to update them (Technical violation issued). One out of four residents do not have a care plan on file (Technical violation issued). Medical assessments for all residents are current. A spot check of Medication and medication records was also conducted at 10:35 AM. Al Balbuena Administrator Certificate 6029935740 expires 3/12/2026. Administrator agreed to submit copies of the following documents by 8/23/24: LIC500- Personnel Report, LIC308- Designation of Responsibility, Copy of Current Lease Agreement and copy of Liability Insurance. Deficiency 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. E xit interview conducted with Administrator via phone and a copy of this report was given.