Routine inspection·March 20, 2025

At approximately 9:00 AM, Licensing Program Analyst (LPA) Robert Frank arrived unannounced to conduct a required 1 Year visit and was greeted by Caregiver Rowena Vengua. Administrator Alicia Poquiz arrived at 9:30 AM. Ward Residential Care Home I is Licensed as a Residential Care Facility for the Elderly (RCFE). The facility is a single story ranch house. The facility has an approved fire clearance for six (6) Residents. Four (4) residents may be non-ambulatory. The facility has a Hospice Waiver for three (3) residents. Upon arrival, LPA was informed that there were six (6) residents in care. At approximately 9:35 AM, LPA reviewed the Facility's Staff Roster and found that all staff on-site were background cleared and associated to the facility per regulation. At approximately 9:40 AM, LPA toured the facility with Administrator Poquiz. All exits were clear and unobstructed. The two (2) fire extinguishers were last serviced and tagged on 6/17/2024. The facility was sufficiently lighted. LPA inspected three (3) resident bedrooms and found all to have sufficient lighting and furnishings as required per Title 22 Regulations. There was a sufficient supply of both perishable and nonperishable foods as required by 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 last disaster drill was conducted on 1/20/2025. 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 At approximately 10:25 AM, LPA reviewed six (6) resident files. LPA observed that Resident one (R1) did not have a Consent for Emergency Medical Treatment form or an LIC 613 Personal Rights form in their File. LPA observed that Resident two (R2) had a medical assessment dated (3) months after admission to the facility. R2's file was also observed to have the pre-placement assessment written after their date of admission. R2 was further observed to have their LIC 613 Personal Rights form from a previous facility to which they were admitted. These deficiencies will be cited. The remaining four (4) resident files were observed to have all required documentation. LPA reviewed three (3) staff files. All staff files were found with all required documentation including First Aid and CPR certification and proper training documentation. LPA spot checked Medication for three (3) residents. LPA observed all medications to be centrally stored, secure and with proper documentation. The facility does not handle resident’s monies for personal and incidental items. Alicia Poquiz’s Administrator Certification 7001402740 is current with an expiration date of 11/20/2025. LPA requested the following documents be submitted to Community Care Licensing by 4/20/2025: LIC 500 Personnel Report LIC 308 Designation of Responsibility LIC 610E Emergency Disaster Plan Proof of Liability Insurance Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency, on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. Exit interview conducted. Copy of report, LIC-809Ds, Plan of Corrections, 811 Confidential Names and Appeal Rights discussed and provided to Administrator Poquiz. Signature on form confirms receipt of documents.