Routine inspection·July 15, 2025

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by caregiver. Administrator Lisa Melo arrived shortly after.. At approximately 9:30am LPA and Admin toured the building and grounds. The facility was found to be clean and at a comfortable temperature. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable food. Food was found to be stored in a safe manner with open items covered. Kitchen cabinet containing cleaning supplies was locked. Kitchen drawer with sharp knives locked. Rodent droppings found in kitchen hand towel drawer on left hand side of sink. Rodent traps found in drawer above hand towel drawer and rodent droppings found under the kitchen sink ( deficiency cited, see 809D ). All bedrooms were equipped with lighting, night stand, and chest of drawers. All bedrooms were clean and in good repair. Extra hygiene products and linens were available. Resident bathroom had required bath mat and grab bar. Water temperature in sink accessible to residents in care measured at 106.9 degrees F which is within the allowable range of 105 to 120 degrees F. Fire extinguishers were last inspected 1/30/25. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Facility’s last quarterly disaster drill were conducted on 6/2/25. Facility has a backup generator for use during a power outage. At approximately 10:30am LPA conducted a review of six [6] resident records. All required documentation present. Continued on 809C... Continued from 809... At approximately 11:30am LPA conducted review of five [5] staff records. No deficiencies cited. Staff (S1) was found to be training at the facility but did not have fingerprint clearance per Guardian. Per Admin, S1 has been training at facility for 2 days. Admin advised they thought S1 had fingerprint clearance through their CNA license but provided LPA with Live Scan form, not proof of clearance ( deficiency cited, see 809D ). Facility has basement apartment rented to individual (I1). Per Admin, I1 helps to lift residents when they fall. LPA advised that if I1 has access to facility and provides any direct care, including lifting, that they must have fingerprint clearance. Admin acknowledges fingerprint clearance requirement and will direct I1 to obtain fingerprint clearance. LPA advised Admin to have I1 cease entering facility and providing care until fingerprint clearance is granted. At approximately 12:00pm LPA and Admin conducted a spot check of medication and medication records. Medication is centrally stored in a locked closet. No deficiencies Lisa Melo Administrator Certificate 7034467740 expires 11/16/26. LPA and Administrator discussed facility's Infection Control Plan and Emergency Disaster plan. No new updates. Updated copies of the following documents were obtained for facility file: LIC500- Personnel Report LIC308- Designation of Responsibility Liability Insurance Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Appeal rights given and discussed with Administrator. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted with Administrator and a copy of this report was given .