Routine inspection·July 25, 2024

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by Licensee Douglas Cattich. Facility contact information was reviewed. At approximately 2:00pm LPA and licensee toured the building and grounds. The facility was found to be at a comfortable temperature. Half bath in room #3 has leaking faucet. Sink does not have vanity to cover plumbing, underneath the sink faucet there was a trash can to collect the water from leaking . The underside of the faucet was covered entirely in black substance. Room #5 had clogged toilet and feces on the floor on top of towel around bottom of toilet. Main bath next to room #3 has black substance around the bottom perimeter of the inside of the shower and brown film covering shower curtain, especially on bottom edge. Very dim light in bathroom so LPA could not confirm if black substance was covering exposed particle board or covering the entire surface of tile. Also, main bath does not have an exhaust fan. LPA discussed with licensee it may mitigate black substance growth and brown film growth if the bathroom had a method by which it could be ventilated ( deficiency cited, see 809D ). 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. Kitchen drawer had rodent dropping present ( 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 grab bar but missing non-skid mat. Water temperature in sink accessible to residents in care measured at 108.3 degrees F which is within the allowable range of 105 to 120 degrees F . Continued on 809C... Continued from 809... Fire extinguishers were last inspected 4/30/2024. Smoke/Carbon Monoxide detectors located throughout the facility were operational. Facility’s last quarterly disaster drill was 4/20/2024. Facility has a backup generator for use during a power outage. At approximately 3:00pm LPA conducted a review of 9 resident records. At approximately 3:30pm LPA conducted review of 5 staff records. All required documentation present. At approximately 4:00pm LPA and licensee conducted a spot check of medication and medication records. Medication is centrally stored in a locked cabinet. No deficiencies Douglas Cattich Administrator Certificate 7002018740 expires 8/12/2025. All fees are current as of this time. LPA and Administrator discussed facility's Infection Control Plan and Emergency Disaster plan. No new updates. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report LIC308- Designation of Responsibility Liability Insurance Bacterial Water analysis 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 licensee. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted with licensee and a copy of this report was given .