Routine inspection·April 2, 2025

At approximately 09:15 am, Licensing Program Analyst (LPA) Star Stevenson arrived unannounced to conduct a required 1-year annual inspection and was greeted by caregiver Maria Delfino Facility is a Residential Care Facility for the Elderly (RCFE) licensed for 6 residents with five (5) residents in care. Facility has a Hospice waiver for six (6), with 2 hospice residents currently in care, and is approved for all non-ambulatory residents. At approximately 09:45 AM administrator Sarah Jane Bautista arrived. At approximately 09:45 am, LPAs initiated a tour of the facility with licensee and observed the following: Facility is a one story home, was a comfortable temperature, and passageways were free from obstructions. Fire extinguishers were last inspected 05/2024 and were observed to be fully charged . Water temperatures measured 115.5F and 116.5F. LPAs observed a supply of clean linens, hygiene, incontinent care, and paper products available for residents. Residents' bedrooms were inspected and observed to have all the appropriate furnishings as outlined in Title 22 regulations. Cabinets containing cleaning supplies and other items that could pose a risk were locked. A strong odor of urine was detected inside and just outside bedroom #5 with patient noted to have a history of incontinence and hospice care (deficiency cited) LPAs observed at least a 2-day supply of a variety of healthy perishable foods, 7-day supply of non-perishable food, and emergency water supplies. In addition, a variety of snacks and fruits were observed to be set out for residents. Food was found to be stored in a safe manner with open items covered. Continued 809C... Continued from 809... Facility has both a backup battery wall and generator, LPA observed a piano, TVs, books, patio with ramps, seating and sunshade accessible to residents. Licensee was advised to ensure that tall green grasses were cut to reduce fire hazard as grasses dry out. Disaster drills were last conducted 12/04/2024, At approximately 11:15 AM LPA conducted a review of five (5) staff records. All 5 staff had required criminal clearance, health records and educational training. At approximately 11:45 AM LPA conducted review of five (5) resident records. All required documentation was present. At approximately 12:00 PM LPA and Licensee Bautista conducted a spot check of medication and medication records with records observed to be accurately kept. Medications were observed to be centrally stored and locked. A copy of current liability insurance was obtained Licensee/Administrator to submit updates of the following documents by 05/02/2025 LIC 500 Personnel Summary LIC 610 Emergency Disaster Plan - updated (if needed) and signed and dated LIC 308 Designation of facility responsibility. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. This report was reviewed with Licensee/Administrator Sarah Bautista and Appeal rights were given.