Routine inspection·January 9, 2025

Licensing Program Analysts (LPAs), Cuadra and Frank, arrived unannounced to conduct an Annual Required Inspection and met with Administrator, Sarah Araya. Clients were at day program at the time of visit. Annual fees current. Contact information reviewed. Required postings were observed. LPA/Administrator initiated a tour of the facility at 2:00 pm and observed the following: Facility was a comfortable temperature and pathways were free from obstructions. However, during the tour of the facility there were some trip hazards observed in the backyard. LPAs had a conversation with Administrator regarding the importance to keep area of potential hazard for residents with poor balance or eyesight challenges well maintained. Fire extinguishers were last inspected January 8, 2025. Smoke detectors and the carbon monoxide detector were tested and operational during inspection. Last Disaster drill was conducted on October 18, 2024. P&I and cash resources were reviewed. First aid kit was missing the tweezers (technical violation issued) Resident bathroom has required bath mat and grab bars. Water temperature in resident bathroom measured at 113.5, 111.8 and 115.6 degrees F which is within the range allowed by regulation of 105 to 120 degrees F. Toxins are located under the sink in the kitchen, garage and bathroom and all were locked. At least two days of perishable and seven days of non-perishable foods were available. Continued on LIC809C... Continued from LIC809... At approximate at 2:15pm, during the tour of the facility, LPA/Administrator observed that medications were centrally stored and locked, but the key is kept hanging on the wall accessible to residents in care. Administrator immediately removed the key and will get a lock box. At approximate at 2:20pm, A spot check of medications revealed a loose white tablet "Atorvastatin" was found in the container of resident's (R1) medication. Administrator will review medication and their records and will conduct a staff training. LPAs initiated file review at 2:30 pm. Four resident files including medical assessment and care plans. Two staff files were reviewed. Staff have required CPR/1st aid certificates. Training records were reviewed. Administrator Certificate for Sarah Araya, 6010373740 expires on 4/10/2025. Administrator agreed to submit updates of forms by 1/17/2025: Designation of Administrative Responsibility (LIC308), Personnel Report (LIC500), Liability Insurance and Surety Bond. 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 Administrator and a copy of report was given.