Routine inspection·April 25, 2025

At approximately 9:20 AM, Licensing Program Analyst (LPA) Robert Frank arrived unannounced to conduct a Required 1 Year visit. Back Up Administrator/House Manager (HM) Aileen Bryant arrived at 9:30 AM. Nena & Ray's Guest Home Inc. #3 is Licensed as a Residential Care Facility for the Elderly (RCFE). The facility is a multi-story house. The facility has an approved fire clearance for six (6) residents. Four (4) residents may be non-ambulatory. Upon arrival, LPA was informed that there were zero (0) residents in care. LPA reviewed the Facility's Staff Roster and found that all staff were background cleared and associated to the facility per regulation. LPA toured the facility with HM Bryant. All exits were clear and unobstructed. The facility's fire extinguishers were last serviced and tagged on 1/30/2025. The facility was sufficiently lighted. LPA inspected resident bedrooms and found all to have sufficient lighting and furnishings as required per Title 22 Regulations. There was an appropriate supply of cleaning products, linens, hygiene products and paper products available for residents. Toxins were observed to be stored inaccessible to residents. Facility has an infection control plan as required. The facility has a required emergency disaster plan. The facility is conducting fire and emergency drills quarterly. The facility does have emergency food and supplies to meet the "72 hour shelter in place" requirements. Hot water temperatures for all sinks in facility were found to be within Title 22 regulations of 105 to 120 degrees Fahrenheit. Facility smoke detectors and carbon monoxide detectors were tested and observed to be operational. Continued on 809-C... ...Continued from 809 LPA reviewed three (3) staff files. All staff files were observed to be well organized with all required documentation including First Aid and CPR certification and proper training documentation. LPA observed medication bins and central storage logs for future residents to be secure in a medication cabinet. Magdalena Casuga’s Administrator Certification 7034412740 is current with an expiration date of 11/06/2025. Aileen Bryant’s Administrator Certification 70138550740 is current with an expiration date of 10/13/2025. LPA requested the following documents be submitted to Community Care Licensing by 5/25/2025: LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Proof of Liability Insurance No deficiencies cited during today's visit. Exit interview conducted. Copy of report discussed and provided to HM Bryant. Signature on form confirms receipt of documents.