Routine inspection·February 27, 2025

Licensing Program Analysts (LPAs) Deniz and Cuadra arrived unannounced to conduct a required Annual inspection and was greeted by Caregiver. Licensee Arthur Alcones arrived later. Facility currently has resident on hospice which is allowable per the facility's Hospice Waiver. LPAs/ Licensee initiated a tour of the facility around 11:45 AM and made the following observations: Facility was a comfortable temperature, and passageways were free from obstructions . LPAs/Licensee observed fences next to the shaded area in the backyard needs to be repaired. Licensee agrees to repairs the damaged fences. LPAs observed emergency exit pathway concrete floor had cracks about 2 inches wide which poses a tripping hazard (Deficiency Citation Issued). Common area bathroom sink’s hose and hot water pressure need to be fixed. Licensee immediately called repair staff and they arrived at the facility for repair while LPAs were in the facility (Deficiency Citation Issued). Resident rooms were furnished per regulation. Water temperature in sinks accessible to clients measured at 118 degrees F and 114.2 degrees F which is within the range of 105 to 120 degrees F allowed per regulation. Extra hygiene products and linens were available. Cabinets containing cleaning supplies were locked. Facility has at least two days of perishable and one week of non-perishable foods which were of quality and stored per regulation. Medications were centrally stored and locked. Emergency food and water is stored in the storage room per Title 22 regulations. LPAs observed garbage bin was stored next to the clean utensils in the kitchen cabinet located under the kitchen sink. Licensee immediately removed the garbage bin into different space and put new one (technical violation issued). Continue on LIC809C... Continue from LIC809... Fire extinguishers were last serviced February 13, 2025. Facility smoke detectors located throughout the facility were tested and operational during inspection. But carbon monoxide detector wasn’t functional, and Licensee replaced it (Technical violation issued). Most recent fire/disaster drill was conducted 02/13/2025. LPAs initiated file review at 1:00pm. Four staff files and four resident files were reviewed. Staff have required First Aid and CPR certificates. Medications and medication records were reviewed. Administrator Certificate for Administrator, Lily Alcones # 7003673740 expires 03/10/2026. LPA is requesting the following documents to be submitted to Community Care Licensing by 03/26/2025: LIC 500 Personnel Report LIC 308 Designation of facility responsibility Updated Liability Insurance Emergency Disaster Plan (Review and update if need it) Control of property. 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. Copy of report discussed and provided to Licensee.