Routine inspection·February 12, 2025

Licensing Program Analyst (LPA) Renee Campbell arrived at the facility to conduct an unannounced annual inspection on 02/12/2025.  LPA met with Maria Almendrala, Assistant Administrator and explained the purpose of the visit. Upon entry, LPA Campbell observed a See Something Say Something poster and the ombudsman information poster near the door. A sign in sheet was observed near the door along with a bottle of sanitizer and masks. Signs in windows near the entrance notified guests that Oxygen was in use. LPA Campbell was greeted by Caregiver Indesha Robinson. Two clients were in the living room watching TV or conversing with staff. LPA Campbell introduced themselves and inquired about their well being. Both clients were alert and stated they were well. LPA Campbell inspected the physical plant including but not limited to the common area, kitchen, dining area, client bedrooms, client bathrooms laundry room and outside courtyards of the facility to ensure compliance with Title 22 regulations . This facility is a single story building licensed to serve six (6) non-ambulatory residents, and six (6) hospice waiver clients. LPA Campbell observed the facility to be free of odor, clean, well lit and in good repair. The thermostat was set to 72 degrees Fahrenheit (F). LPA Campbell observed the 4 bedrooms to be properly furnished with appropriate accessories (lamp, bed, nightstand, drawers) bedding and lighting. There are no bodies of water present . The backyard contained shade, seating and no debris. The fire exit was clear of obstructions. The fire extinguisher was last inspected on 01/15/2024 and is currently fully charged. Smoke alarms were were tested and found to be functioning. When asked how many staff were able to work in the facility, Maria Almendrala stated there were four staff. Staff 1(S1) was found to have an incomplete Personnel Record, no health screening and no TB test. Per the Administrative Assistant, S2 had not been able to schedule their TB or health screening since being hired in January. During the course of the visit, Administrative Assistant Maria Almendrala removed the staff who had not had their TB tests. For the three clients remaining, Mara Almendrala was to able to take over supervision with assistance from staff added to the roster from another facility (S3) as observed by the LPA. LPA Campbell confirmed with the Assistant Administrator the that S1 and S2 should not return until at least tomorrow without their completed chest x-rays and health screening. Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, the following deficiency is being cited on the attached 809-D during this visit.  An exit interview was conducted, and copies of the report and appeal rights left.