Routine inspection·January 21, 2025

Licensing Program Analysts (LPAs) Magdaleno and Cuadra arrived unannounced to conduct an Annual Required visit and met with Licensee, Eden Relota. Required postings were observed. Annual fees current. LPAs/Licensee initiated a tour of the facility at 1:45pm and observed the following: Facility was a comfortable temperature. However LPAs/Licensee observed the following: Vent in hallway requires cleaning, 5 garbage bags with residents clothing outside, tripping hazard in resident room # 2, lights flickering in bathroom #1, garbage cans in resident rooms require covers/lids. LPAs had a conversation with Licensee about the importance of having facility maintained in good repair. Resident rooms were furnished per regulation. Extra linens and hygiene products were available. Hot water temperature in resident's bathrooms measured at 107.2 and 114.2 F which is within allowable range of 105 to 120 degrees F. Medications were centrally stored and locked at time of inspection. Toxins are located in a locked cabinet in the garage. At least two days of perishable and one week of nonperishable food was available. Fire extinguishers were last serviced January 2025. Smoke detectors and carbon monoxide detector throughout the facility were tested and operational. Exit doors have auditory alert system that were functional at time of visit. Last disaster drill was conducted on 1/5/2025. Facility has a portable generator. Medication and medication records were reviewed. LPAs initiated file review at approximately 2:15pm. Three staff files and five resident files were reviewed. Residents have medical assessments and care plans updated per regulation. All staff have CPR/1st aid certificates and annual required training hours were complete. Administrator Certificate for Mechelle Relota, 7004006740, expires on 5/21/2026. Medication and medication files were reviewed. Contact information was reviewed. LPAs had a conversation with the Licensee regarding activities (Technical violation issued). Licensee agreed to provide updated copies of the following by 1/31/25: LIC308 - Designation of Facility Responsibility and 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 copy of this report was given.