Routine inspection·July 27, 2023

At 8:20 a.m. Licensing Program Analyst (LPA) Esther Cortez arrived unannounced to conduct a required annual visit. When the LPA arrived, there was two staff and four clients present . The LPA was greeted by Caregiver Patrick and informed them of the reason for the visit. Licensee Irma Carmona shortly arrived. At 09:00 a.m. the LPA conducted a tour of the physical plant with Licensee Irma to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was noted: Facility is a single story residence that consists of six (6) resident bedrooms, two (2) staff rooms and seven (7) bathrooms. The LPA observed fully charged fire extinguishers last serviced on March 21, 2023. All smoke alarms and carbon monoxide detector were tested and functioned properly during time of visit. LPA observed all required postings throughout the facility. The facility accepts residents with dementia, the auditory alarms on the exit doors were tested and functioned properly at the time of visit. KITCHEN: The kitchen appeared clean and the appliances and fixtures functional during the time of visit. The LPA observed a sufficient amount of perishable and non-perishable food at the facility; Sharp objects and chemicals are locked and inaccessible. BEDROOMS: The resident bedrooms were properly furnished with at least one chair, nightstand and sufficient lighting for each resident. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, mattress pads, and blankets. RESTROOMS: Resident restrooms were clean and sanitary with grab bars and non-skid surfaces. At 9:54 a.m., water temperature measured at 107.1 Fahrenheit. REPORT WILL CONTINUE ON LIC809-C COMMON SPACES: These included the backyard, living room and dining area. The common areas were checked for cleanliness and furniture was checked for functionality during time of visit. The facility maintained a comfortable temperature of 75 degrees. The backyard and exterior area of the facility had furniture and a covered area for resident use. There were no bodies of water noted at the time of the visit. All cleaning supplies are stored in locked cabinets. The garage is locked and inaccessible to the residents in care. INFECTION CONTROL: There is a central entry point for universal screening and temperature checks. There is sanitizer available for use throughout the facility. There is an adequate supply of Personal Protection Equipment (PPE). The policies and procedures pertaining to infection control were adequate. FILE REVIEW: A review of facility files was initiate at 10 a.m. and the following was observed. The LPA observed documentation of Infection Control, Client Roster, and Staff Roster. The LPA reviewed five (5) of five (5) resident Files. The LPA observed all five resident files to be missing a reappraisal documenting changes in the resident's physical, medical, mental, and social condition. The LPA reviewed five (5) out of nine (9) staff files. Out of the nine files, the LPA identified that one staff (S1) had an expired first aid, expired on 4/13/2022. INTERVIEWS: During the visit the LPA interviewed four (4) residents and four (4) staff. No immediate concerns voiced at this time. Pursuant to Title 22 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D). Exit interview conducted and copy of the report and appeal rights were provided to the house manager per the Licensees direction.