Routine inspection·May 29, 2024

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required Inspection and met with Administrator, Ernesto B Idang. Licensee, Josephine Blancaflor arrived later. Fees are current. Contact information was reviewed. There are residents with a diagnosis of dementia. LPA/Administrator initiated a tour of the facility at 9:00 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 bathroom measured at 109.2 & 110.3 degrees F which was within allowable range of 105 to 120 degrees F. Extra hygiene products and linens were available. Bathrooms had required bath mats and grab bars. Kitchen cabinet containing cleaning supplies was 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 April 2024. Facility has hardwired combination smoke/carbon monoxide detectors located throughout the facility that were tested and operational. Exit doors have auditory alert system that were functional at time of visit. Last disaster drill was conducted on April 3, 2024. At approximate 9:15am LPA/Administrator observed facility kitchen to have a baby fence with a lock on the door that it was unlocked during the inspection. Per Administrator, the facility locks the door for the safety of residents with dementia who may try to eat "food" at night. Also, the refrigerator located in the hallway was observed with a chain around it to keep residents away from accessing the refrigerator. LPA had a conversation with Administrator/Licensee, they removed the fence, chain and locks from the kitchen area. Licensee agreed to not lock the kitchen without an approved waiver from the Department. A technical violation will be issued. Continued on LIC809C... Continued from LIC809... File review was initiated at 9:30am. Three staff files and six resident files were reviewed. Staff have required First Aid and CPR certificates. Training records reviewed. Residents have current medical assessments and care plans updated within the last 12 months. Administrator Certificate for Administrator, Ernesto B Idang expires 4/15/2025. Medications and medication records were reviewed. Required postings were observed. Licensee/Administrator to submitted updates of the following documents: Designation of Administrative Responsibility (LIC308), Personnel Report (LIC500), lease agreement and 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.