Routine inspection·August 7, 2023

Unannounced Annual Inspection visit was made by Licensing Program Analyst (LPA) Kimberly Viarella to this facility on 08/07/23. LPA identified herself to the Caregiver on duty, explained the purpose of the visit, and asked to speak with Bonaire Yepez, the Licensee/Administrator. A brief interview followed. Census at the time was 5 residents in care. LPA noted the Licensee/ Administrator, Bonaire Yepez’s, certificate (# 6059821740, expiration date 06/09/2023) was posted along with the facility’s license. The Licensee has another Certified Administrator who is associated to the facility, who has agreed to assist with coverage while the Licensee renews her certification. The inspection began in the kitchen. All knives and sharps were locked and inaccessible to residents in care. The food supply was adequate for 2-day perishable and 7-day nonperishable. Opened packages in the refrigerator were all dated appropriately. LPA inspected the 5 bedrooms, all had the required furniture, furnishings and lighting to be in compliance at this time. The LPA observed grab bars and non-skid surfaces in the 2 resident bathrooms at this facility. The hot water temperature was measured at 107.6 degrees Fahrenheit and was in compliance. The fire extinguish was last serviced on 10/25/2022 by Jorgensen Co. and was also in compliance. LPA inspected the medications and logs which were kept in a locked cabinet and inaccessible to residents. LPA reviewed dosing, storage, and destruction practices with staff. First Aid kit was also reviewed to ensure compliance. The exterior of the building was inspected by the LPA. LPA also observed 2 screens on the right side of the house, 2 in the rear, along with the sliders, 1 on the right side and 1 in the front were damaged and did not fit properly. The fenced-in yard was clear of debris. There was a locked storage shed. LPA found it to contain a lawn mower and other maintenance equipment. There was also a covered patio area for residents to enjoy. LPA completed a review of resident files to ensure compliance. LPA provided some technical assistance with the Appraisal/Needs and Services Plan. Staff files were reviewed as well, and annual training will be due in September and October. During the review of resident files LPA observed that 2 of the 5 residents were bedridden. The LIC 602's had not been updated. The Licensee immediately contacted the physician's office and new LIC 602s were provided to this LPA before the completion of the inspection. LPA requested the following Documents: Updated LIC 308 LIC 500 LIC 9020 Updated LIC 200 for a new Fire Clearance for Bedridden Updated Facility Sketch Administrator's Certification Renewal Copy of Liability Insurance According to the California Code of Regulations, Title 22, the following deficiencies were observed and cited on the LIC 809 D page. A copy of this report was provided to the Licensee along with the Appeal Rights. Exit interview.