Routine inspection·July 23, 2024

Licensing Program Analyst (LPA) Alviso arrived unannounced to conduct an Annual Required - 1 Year inspection and met with Licensees Joy and John Ortega. There are currently six (6) residents in care. There was a caregiver working with the Administrators during the inspection. Facility has a required infection control plan. Facility has a required emergency disaster plan. Facility has an approved dementia plan. The facility has a hospice waiver for four (4) residents. Facility has a fire clearance approved for six (6) non-ambulatory, of which one(1) may be bedridden. LPA reviewed six (6) resident files. Medication records and storage of medications were checked. All medications were locked and inaccessible to residents in care. LPA reviewed three (3) staff files. All staff have required criminal record clearance. Staff have required training. Staff have first aid certification and cpr as required. Facility had an emergency fire drill/evacuation drill on 7/5/24, record review. LPA toured the facility with the Administrators. Hot water was checked at 118.2 degrees Fahrenheit. All exits were free and clear of obstruction. All exit doors had auditory alarms. Fire extinguishers, two (2), were showing fully charged, were inspected and tagged. Food supply was sufficient. All cleaners/disinfectants were locked and inaccessible to residents in care. Facility was clean and orderly. Facility had a sufficient supply of personal protective equipment (PPE), paper products, hygiene products, linens, and furnishings for resident use. LPA is requesting the following documents be updated and submitted by 8/23/24: LIC500 - Personnel Report LIC610E-Emergency Disaster Plan (ensure to review and update as needed/required- if no changes submit last page with date/signature of review) Infection Control Plan (ensure to review and update as needed/required- if no changes submit last page with date/signature of review) Copy of LIC400 Handling of Client Cash Resources (include copy of surety bond if handling cash) Copy of Current Liability Insurance Resident Roster No deficiencies cited today.