Routine inspection·February 20, 2025

Licensing Program Analyst (LPAs), Deniz and Cuadra arrived unannounced to conduct an Annual Required Inspection and met with Licensee/Administrator Josephine Blancaflor. Required postings were observed. Annual fees are paid during our visit. LPAs/Licensee initiated a tour of the facility at 9:20 am and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Water temperature in resident's bathroom measured at 119.3, 121.4, and 121.8 degrees F which are not within allowable range of 105 to 120 degrees F (Deficiency cited). Extra hygiene products and linens were available. Bathrooms had required bath mats and grab bars. Cabinets containing cleaning supplies and other items that could pose a risk were locked.Facility has at least two days of perishable and one week of non-perishable foods. Medications were centrally stored and locked. Fire extinguisher was last inspected May, 2024. 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. Last disaster drill conducted on 1/27/25. File review was initiated at 10:00am. Three staff files and five resident files were reviewed. Staff have required First Aid and CPR certificates, training records were reviewed. All resident's files have current medical assessments and care plans. Administrator Certificate for Licensee Josephine Blancaflor, 6015304740 expires 7/14/26. A spot of medications revealed some discrepancies as follow; there was an unrecorded medication Hydrocodone -Acetaminophen 10-325 MG in the medication log for resident (R1) and Tab-A-Vite Tabs Major medication for resident (R2) had a missing information in the centrally stored medication log (Deficiency cited). Licensee submitted updates of the following documents: Designation of Administrative Responsibility (LIC308), Personnel Report (LIC500), Liability insurance and control of property. 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.