Routine inspection·May 23, 2025

At approximately 8:45 AM, Licensing Program Analyst (LPA) Robert Frank arrived unannounced to conduct a Required 1 Year inspection and was greeted by Caregiver (CG) Rodrigo Gallardo. Mc Hugh Care Home 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 fifteen (15) Residents. Eleven (11) Residents can be non-ambulatory. There is a hospice waiver for one (1) Resident. Upon arrival, LPA was informed that there were eight (8) Residents in care and two (2) staff members on-site. At approximately 9:15 AM, LPA reviewed the Facility's Staff Roster and observed that all staff on-site were background cleared and associated to the facility per regulation. At approximately 9:20 AM, LPA toured the facility with CG Gallardo. All exits were clear and unobstructed. The facility has three (3) fire extinguishers. Two (2) extinguishers were last serviced in 5/2024. One (1) extinguisher was observed to be last serviced in 6/2023. All extinguishers need to be serviced and tagged annually. This deficiency will be cited. The fire alarm and sprinkler system was serviced in 12/2024. Food supply was sufficient. The facility was sufficiently lighted. LPA inspected four (4) Resident bedrooms and observed all to have sufficient lighting and furnishings as required per Title 22 Regulations. The sliding screen doors in bedroom one (1) and in bedroom four (4) were observed to be damaged. This deficiency will be cited. LPA observed a badly broken window in bedroom seven (7). The window was observed to have been partially covered with cardboard and duct tape. This deficiency will be cited. The facility was previously cited for the same deficiency on 7/2/2024. As the deficiency has been cited twice in under twelve (12) months, a Civil Penalty will be assessed for the facility not being in good repair. Continued on 809-C... ...Continued from 809 There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. LPA observed two sauce containers that were opened and partially used in the kitchen pantry. Both sauces required refrigeration after opening. This deficiency will be cited. LPA further observed in the same pantry several food cans that had rodent feces on their top. This deficiency will be cited in Complaint 21-AS-20250421123325. In the closet outside of bedroom two (2) LPA observed unsecured prescription medication for a Resident who is no longer admitted to the facility. This deficiency will be cited. The facility was previously cited for the same deficiency on 12/6/2024. As the deficiency has been cited twice in under twelve (12) months, a Civil Penalty will be assessed for the unsecured medication. All other 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 not conducting fire and emergency drills per regulation with the last disaster drill having taken place in July, 2024. This deficiency will be cited. 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 observed 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. LPA observed spider webs and dirt on the floors of the facility's common areas. At approximately 11:45 AM, LPA reviewed four (4) Resident files. LPA observed that Three (3) of four (4) Residents (R2,R4,R5) did not have current appraisal & needs service plans. For R2, R4 and R5 the last appraisal & needs service plan was dated 5/9/2023. One (1) Resident (R3) did not have any appraisal & needs service plan or signed Personal Rights documents in their file. These deficiencies will be cited. LPA reviewed two (2) staff files. Two (2) staff members (S1,S2) did not have proof of annual training on file. This deficiency will be cited. One (1) staff member (S1) did not have current First Aid or CPR certification. This deficiency will be cited. LPA spot checked Medication for three (3) Residents. LPA observed all medications to be centrally stored, secure and with proper documentation. Resident’s monies for personal and incidental items are not maintained by the facility. Continued on 809-C(2)... ...Continued from 809-C Administrator Tiffany Dizon's Administrator Certification is not current. LPA requested the following documents be submitted to Community Care Licensing by 6/23/2025: LIC 500 Personnel Report LIC 308 Designation of Responsibility LIC 610E Emergency Disaster Plan 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, LIC 421FCs, Plan of Corrections, 811 Confidential Names and Appeal Rights discussed and provided to CG Gallardo. Signature on form confirms receipt of documents.