Routine inspection·July 2, 2024

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Inspection and met with staff Rodrigo Gallardo. Acting Administrator, Nick Aquino arrived later. LPA/staff initiated a tour of the facility at 1:30 pm and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Water temperature in resident bathrooms measured at 106.9, 105.1 and 106.6 degrees F which are within allowable range of 105 to 120 degrees F. Extra hygiene products and linens were available. Bathrooms had required bath mats and grab bars. Facility has at least two days of perishable and one week of non-perishable foods. Medications were centrally stored and locked. Fire extinguisher was last inspected May, 2024. Smoke alarms and carbon monoxide detectors were found operational. According to acting administrator, there are no disaster drill been conducted during this year (technical violation had been issued). Facility has a fire pull system. The last fire department visit was conducted on June 2024. Resident rooms were furnished per regulation. At approximate 1:45pm LPA/acting administrator observed spider webs in resident's rooms (room #3 & room #2) and common areas. Window screen on room #3 needs to be replaced. All garbage cans do need to have a lid cover. Two out of three bathrooms were observed dirty and needing minor repairs on walls. At approximate 1:50pm LPA/acting administrator observed hallway closet where toxins are stored was unlocked during inspection. Staff immediately locked the laundry room area. Technical violation will be issued. Continued on LIC809C... Continued from LIC809... File review was initiated at 2:00 pm. Two staff files and five resident files were reviewed. One out of two staff do not have required First Aid and CPR certificates on premises (Technical violation was issued). Three out of five resident's care plan had not been updated within the last 12 months. During file review, LPA noticed resident (R1) was sent to the emergency room on May 2024. However, the Department was not notified about incident. LPA/acting administrator had a discussion regarding reporting requirements (technical violation was issued). Medications and medication records were reviewed. On 6/28/23, The Department held an informal meeting in the Santa Rosa Regional Office with acting Administrator, Nicanor Aquino and Licensee Angelita Aquino to address concerns regarding administrator certification for this facility and the Licensee's other facility (AA Best Care 496801684) in which Nicanor Aquino is the identified Administrator. During the office visit, it was determined that Licensee Angelita Aquino have submitted training documents to the Administrator Certification Unit to renew their Administrator Certificate and it was agreed that acting administrator upon completing their required training hours, they will submit their renewal application. However, during today's visit, it was revealed that administrator certificate for acting administrator, Nicanor Aquino 6010494740 is still expired and Licensee are in the process of completing required training hours. Although, they claim that they are taking required training hours, there is no supporting evidence that they have submitted any required documentation for the Department to review, LPA was unable to find their names listed on the Department's pending/approved administrator certificate List. The Department will be reviewing the information obtained to determine if further actions are needed. Licensee/acting Administrator to submit updates of the following documents by 7/16/2024: Designation of Administrative Responsibility (LIC308), Personnel Report (LIC500), copy of Liability Insurance. Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview was conducted with acting Administrator and a copy of this report was given.