Routine inspection·April 16, 2025

At approximately 09:30 AM, Licensing Program Analyst (LPA) Star Stevenson arrived unannounced to conduct a required 1-year annual inspection and was greeted by individuals Liezyl Leano and Rodolfo Capili who were not associated to the home through Guardian. At approximately 9:45 AM licensee Art Villegas arrived for tour of facility. Facility is a Residential Care Facility for the Elderly (RCFE) licensed for six (6) residents with four (4) residents in care. Facility has a Hospice waiver for three (3), with two (2) hospice residents currently in care. Facility is approved for 6 non-ambulatory residents. At approximately 10:00 AM, LPA 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. Facility has required posters up in main hallway.Fire extinguishers were last inspected 04/2024 and were observed to be fully charged . Water temperatures measured between 105F and 120F (at 116.2F) as required by title 22 regulation. LPA 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 medicines and other items that could pose a risk were locked. Tall weeds and grasses were observed primarily in the front of the property and side yards that could potentially increase a fire hazard as they dry out and licensee given a technical advisory to mow down the tall weeds and grasses before they dry out to limit the potential for fire hazard. An exterior shed was unlocked and observed to be full of extra-supplies and hardware. Continued 809C... Continued from 809... LPA observed TVs, books, patio with ramps, seating and sunshade accessible to residents. Disaster drills were last conducted 02/2025 At approximately 11:30 AM LPA conducted a review of six (6) individual and staff records. Two (2) individuals observed performing direct resident care were not associated though Guardian and not cleared to work at the facility, three (3) other staff members records had all requirements. A type A deficiency was assigned and a civil penalty in the amount $200 is being assess due to a violation of CCR 80066(a)(12)(B) At approximately 12:30 PM LPA conducted review of four (4) of four (4) resident records. All required documentation was present. One (1) of four (4) resident records records were with a residents son and LPA needed to wait for copies of the record to be supplied, a technical violation was issued (Licensee shall ensure that a residents record are readily available to licensing staff at all times) 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. Exit interview conducted with licensee/administrator