Routine inspection·May 23, 2024

Licensing Program Analyst (LPA) Cuadra, arrived unannounced to conduct an annual required Inspection and met with Caregiver, Genaro Samson. Administrator, Janet Hermogenes arrived later. Fees are current. Contact information was reviewed. LPA/staff initiated a tour of the facility at 9:00am 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 bathroom measured between 110.9 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. Cabinets containing cleaning supplies were locked. Drawer containing knives was also locked. Facility has at least two days of perishable and one week of non-perishable foods. Medications were centrally stored and locked in a medication cabinet. Refrigerated medications were observed in a locked box in a refrigerator located in the kitchen. The facility has not conducted a disaster drill within the last quarter. Fire extinguisher was last inspected August, 2023. Smoke detectors and carbon monoxide detector located throughout the facility were tested and operational. Exit doors have auditory alert system and were functional at time of visit. Required postings were observed. Current residents handle their own cash resources. Medications and medication records were reviewed. Continue on LIC809C... Continued from LIC809... File review was initiated at 9:30am. Two staff files and six resident files were reviewed. Five out of six residents do not have a current care plan. One out of six residents admission agreement was not completely filled out a technical violation was issued. Staff have required First Aid and CPR certificates. Training records were reviewed and staff have a maximum average of nine hours of required annual training, staff needs additional required 20 hours of training. Administrator Certificate for Administrator, Janet Hermogenes, 6013991740, expires on 10/24/25. Administrator submitted updates of the following documents: Designation of Administrative Responsibility (LIC308), Personnel Report (LIC500) and Administrative Organization (LIC309). 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 Administrator and a copy of this report was given.