Routine inspection·August 24, 2023

Licensing Program Analysts (LPAs) Victoria Bertozzi and Helena Rummonds arrived unannounced to conduct an Annual Required inspection and met with Administrator, Brisa Junco. LPAs initiated a tour of the facility around 9:30am 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 bathrooms used by residents measured at 98 degrees F which is not within the range of 105 to 120 degrees F allowed per regulation. Licensee has contacted their handyman to turn up water heater to ensure it is within regulation. Extra hygiene products and linens were available. Cabinet containing cleaning supplies was locked. Facility has at least two days of perishable and one week of non-perishable foods which appeared to be of quality and stored per regulation. Medications were centrally stored and locked. Emergency food and water supplies are stored in a garage and shed along with Personal Protective Equipment. Fire extinguisher was fully charged and last serviced May 2022. Smoke and Carbon Monoxide detectors located throughout the facility were tested and operational during inspection. Most recent fire/disaster drill was conducted 7/2023. Three staff files and five resident files were reviewed. Staff have required First Aid and CPR certificates. Administrator Certificate for Administrator, Brisa Junco has expired but administrator provided proof that they have submitted renewal documentation to the Department. Medications and medication records were reviewed. Continued on 809-C Continued from LIC809 Licensee/Administrator to submit updates of the following documents by 9/24/2023: LIC 500 Personnel Summary Copy of Liability Insurance LIC 610 Emergency Disaster Plan (If changes) Infection Control Plan (If changes) 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.