Routine inspection·September 20, 2024

At approximately 2:00 PM, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to conduct a required 1-year annual inspection and was greeted by Elsa Magaoay, Administrator. Facility is a Residential Care Facility for the Elderly (RCFE) with six (6 ) residents in care. All residents were present during today's inspection. Facility has a hospice waiver for three (3), a bedridden waiver for one (1), is approved for all non-ambulatory residents, and currently has two (2) hospice residents in care. At approximately 2:10 PM, LPA initiated a tour of the facility with Administrator and observed the following: Facility is a one story home, was a comfortable temperature, and passageways were free from obstructions. Water temperatures in residents' bathrooms measured within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed a supply of clean linens and paper products available to residents. Residents' bedrooms were inspected and observed to have appropriate furnishings as outlined in Title 22 regulations. Cabinets containing cleaning supplies and other items that could pose a risk were locked. Facility has at least two days of perishable food and one week of non-perishable foods, as well as an emergency water supply. Medications were centrally stored and locked. There is a covered seating area in the backyard with outdoor space for activities. LPA observed two locked sheds in the backyard which LPA inspected and observed the contents of both to consist of tools, chemicals, decorations, extra incontinent care products, and extra facility equipment such as mattresses and a shower chair. LPA observed an activity schedule and was informed that the facility has teamed up with a Solano County Developmental Group who comes to the facility twice a week to conduct activities with residents and was informed by a resident that they play games, paint the residents' nails, and perform exercises each week. Facility has an internet access device and internet service available to residents in care and the telephone was tested an operational during inspection. Facility's fire extinguisher was observed charged and was last serviced November 2023. Smoke and Carbon Monoxide detectors were tested and operational during inspection. Continued on LIC809-C... Continued from LIC809C... Facility conducts quarterly disaster drills, and the most recent drill was conducted July 2024. LPA observed the facility's infection control plan, first aid kit, PPE, other emergency supplies, and a back-up generator. LPA reviewed facility's emergency disaster plan last updated June 2024. At approximately 3:20 PM, five (5) staff files were reviewed. All staff files reviewed have all of the required paperwork including the required CPR and First Aid training certificates and documentation of all required initial and annual training hours. Licensee states facility and residents' families work together to coordinate medical and dental appointments and transportation to and from visits. Facility does not manage cash resources for residents. **LPA will return at a later date to complete this annual inspection consisting of resident file and medication record review. No deficiencies were cited during inspection. Updated copies of the following documents are to be submitted to CCL within 30 days of this visit : Copy of New Facility Lease Exit interview conducted with Administrator whose signature on form confirms receipt.