Routine inspection·August 12, 2025

At approximately 12:45, Licensing Program Analyst (LPA) Contreras arrived unannounced to conduct a required annual inspection visit. LPA was greeted by administrator Al Balbuena. Facility is a Residential Care Facility for the Elderly that has a fire clearance approved for six residents. Facility currently has three residents which were all attending day program during visit. 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 4/9/2025. Fire alarms and carbon monoxide detector were tested and operational. Outdoor emergency exit clear from obstruction. LPA observed no outdoor furniture or chairs to be accessible for residents. LPA had conversation with admin that residents must have accessible seating area. 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 some food missing expiration dates. LPA had conversation with admin that all food must have expiration dates noted. Toxins were observed to be unlocked under kitchen sink. Lysol spray and wipes observed to be unsecured and accessible to residents in the living room. LPA observed gallon bottle of bleach and gallon bottle of multi-purpose cleaner in walkway of backyard (Deficiency Cited, See 809D). Sharps and knives were in kitchen drawer without a lock. Staff stated drawer is locked while residents are home and LPA had conversation that lock must be on regardless if residents aren't home. Emergency water and food supply was stored in garage. 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. Bathroom accessible to residents had required bath mat and grab bar. Communal towel observed to be found in bathroom and no soap. Bathroom located in resident room did not have paper towels,bath mat or soap. LPA had conversation with admin about the provisions of maintenance services for all bathrooms accessible to residents. Continued onto 809C... Continued from 809.... Water temperature measured at 105.2 degrees F at faucets accessible to residents which is within the allowable range of 105 to 120 degrees F. Disaster drills not being conducted quarterly with last drill conducted on 8/16/2024 (Deficiency Cited, See 809D). LPA reviewed 3 of 3 resident records. All required documentation was present. Physician reports were up to date. LPA reviewed 3 staff records. S1 and S2 did not have required Health Screening( LIC503), Personnel Record (LIC501) and TB Clearance. S2 and S3 did not have required First Aid Certification (Deficiency Cited, See 809D). LPA and Admin conducted a spot check of medication and medication records. Medication is centrally stored in a locked cabinet. No deficiencies 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 LIC308-Designation of Responsibility 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.