Post-licensing visit·August 5, 2023

An unannounced Post-Licensing visit was made by Licensing Program Analyst (LPA) Kimberly Viarella to this facility on 08/05/23. Due to technical difficulties, this report was done manually and not entered into FAS until 08/23/2023. The following was transcribed from the original report left at the facility. LPA identified herself to the Caregiver on duty, explained the purpose of the visit, and asked to speak to the Designated Facility Administrator. The Caregiver called Estrellita Banci, Licensee, who stated that she would be at the facility shortly. Census at the time was 1 resident in care. LPA noted the Designated Facility Administrator, Pedro Pacho’s, certificate (# 6061071740, expiration date 10/26/23) was posted in the living room along with the facility’s license, facility sketch and emergency disaster plan. The inspection began in the kitchen. All knives and sharps were locked and inaccessible to residents in care. The food supply was adequate for 7-day nonperishable and 2-day perishable. Opened packages were not dated and labeled in the refrigerator. LPA provided technical assistance. LPA selected 8 random items from the refrigerator, 3 of which had expired. LPA inspected the 3 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 bathrooms along with paper towels and soap. The hot water was measured to ensure it was between 105 and 120 degrees Fahrenheit. The fire extinguisher was purchased 08/05/2023 at Home Depot and was in compliance. The exterior of the building was inspected by the LPA. The yard was clear of debris and completely fenced in. The facility did have an in-ground pool which was completely fenced in and had 2 locked gates. Pool chemicals were stored in a separate locked gated area in the yard and inaccessible to residents in care. LPA also observed a covered patio are for residents to enjoy. A file review of the 4 individuals associate with the facility was completed as well. The primary Caregiver and the Designated Facility Administrator's files were complete. The remaining 2 files were for the Licensees and they were not providing care at this time. According to the Code of California Code of Regulations, Title 22, Article 6, the following deficiency was observed and cited on the LIC 809 D page. A copy of this report and Appeal Rights were provided. Exit interview.