Routine inspection·September 16, 2025

At approximately 8:45 AM, Licensing Program Analyst (LPA) Robert Frank arrived unannounced to conduct a Required 1 Year visit and was greeted by Caregiver (CG) Nelva Ramirez. Administrator Brisa Junco arrived at 12:15 PM. Green House East RCFE is Licensed as a Residential Care Facility for the Elderly (RCFE). The facility is a two (2) story ranch house with a staff apartment above the garage. The facility has an approved fire clearance for six (6) non-ambulatory residents. The facility has a Hospice Waiver for three (3) residents. Upon arrival, LPA was informed that there were five (5) residents in care and one (1) staff member on-site. One (1) additional staff member arrived at 8:50 AM. At approximately 9:05 AM, LPA reviewed the Facility's Staff Roster and found that all staff on-site were background cleared and associated to the facility per regulation. At approximately 9:10 AM, LPA toured the facility with CG Cinthia Junco. All exits were clear and unobstructed. The facility's two (2) fire extinguishers were last serviced and tagged on 3/19/2025. Fire Department inspected the facility on 6/3/2025 and found no violations. The facility was sufficiently lighted. LPA inspected three (3) resident bedrooms and found all to have sufficient lighting and furnishings as required per Title 22 Regulations. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. There was an appropriate supply of cleaning products, linens, hygiene products and paper products available for residents. Facility has an infection control plan as required. The facility has a required emergency disaster plan. The facility per regulation, should be conducting fire and emergency drills quarterly. LPA observed that there have only been two (2) fire and emergency drills in 2025 on 1/3/2025 and 5/24/2025. This deficiency will be cited. During the inspection LPA observed medications for residents in distribution cups unlocked in a kitchen drawer. This deficiency will be cited. Continued on 809-C... ...Continued from 809 The facility does have emergency food and supplies to meet the "72 hour shelter in place" requirements. Hot water temperatures for all sinks in facility were found to be within Title 22 regulations of 105 to 120 degrees Fahrenheit. Facility smoke detectors and carbon monoxide detectors were tested and observed to be operational. At approximately 10:10 AM, LPA reviewed four (4) resident files. Two (2) of four (4) resident files were observed to not have documents as required by Title 22 regulations. Resident R1's file was observed to be missing the LIC 625 Appraisal/Needs and service plan. Resident R3's file was observed to missing the LIC 613C Personal Rights for RCFE. These deficiencies will be cited. LPA reviewed four (4) staff files. Four (4) of four (4) staff files were observed with all required documentation including First Aid and CPR certification and proper training documentation. LPA audited Medication for three (3) residents. LPA observed all medications to be centrally stored. LPA observed that a medication for resident R2 had an incorrect prescription number marked on the Central storage and destruction log. This deficiency will be cited. The facility does not handle resident’s monies for personal and incidental items. Brisa Junco’s Administrator Certification 7011129740 is current with an expiration date of 7/13/2027. LPA requested the following documents be submitted to Community Care Licensing by 10/16/2025: LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Proof of Liability Insurance Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency, on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. Exit interview conducted. Copy of report, LIC-809Ds, Plan of Corrections, 811 Confidential Names and Appeal Rights discussed and provided to Administrator Junco. Signature on form confirms receipt of documents.