Routine inspection·April 30, 2024

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required Inspection and and was greeted by staff (S1). Administrator Adalberto Ojeda and Licensee David Hanna arrived later. Upon a review of the Guardian Background Check roster, LPA informed Licensee/Administrator that staff (S1) was fingerprint cleared, but was not associated to facility and should never be working or providing care to residents prior to a criminal record clearance or association was completed. Licensee/Administrator immediately processed documentation to associate S1 to the facility. Civil penalties are being assessed in the amount of $100 per day for allowing a person to work, reside or volunteer in the facility without a fingerprint clearance exemption. LPA initiated a tour of the facility at 8:45 am and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Resident rooms were furnished per regulation. Water temperature in resident's bathrooms measured at 113.5, 113.5 and 114.4 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. Cabinet located in the locked garage containing cleaning supplies was locked. Facility has at least two days of perishable and one week of non-perishable foods. However, LPA had a discussion with Licensee/Administrator about the possibility to buy a variety of fruit for residents. Licensee/Administrator agreed to provide a variety of fruits for residents in care (Technical advisory will be issued). Facility has emergency food and water. Medications were centrally stored and locked. Continue on LIC809C... Continued from LIC809... Fire extinguisher was last inspected July, 2023. Smoke detectors located throughout the facility were tested and operational. Carbon monoxide detector was tested and operational. Exit doors have auditory alert system that were functional at time of visit. Last disaster drill was conducted on April 2, 2024. During visit LPA observed that there were no activities been conducted and had a discussion with Licensee/Administrator regarding the importance of performing activities to promote the development and participation of residents (Technical violation was issued). LPA initiated file review at 9:15 am. Two staff files and five resident files were reviewed. One out of five resident's (R1) care plan needs to be updated. Staff have required First Aid and CPR certificates. Also, annual required training hours are complete. Administrator Certificate for Administrator Adalberto Ojeda, 6035345740, expires on 5/10/24. Medications and medication records were reviewed. Required postings were observed. Licensee/Administrator agreed to submit updates of the following documents by 5/10/24: Designation of Administrative Responsibility (LIC308), Personnel Report (LIC500), Emergency Disaster Plan (LIC610E if there are any changes) and a 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 conducted with Licensee and a copy of this report was given.