Around 1:35 PM, LPA Tea reviewed six resident files and two staff files. Resident files and staff files contained all required documentation. Upon review of records, the facility is up to date with required quarterly emergency disaster drills, which was last conducted in June 19, 2024. AD Wilkes administrator certificate is current and expires September 07, 2025.

LPA Tea along with House Manager Sharon Pajarillaga and AD Wilkes toured the facility at 2:30 PM. LPA toured the physical plant, checked food service, and the first aid kit. The facility is a single-story home, that consists of 5 resident bedrooms, 1 staff room, 3 bathrooms, living room, dining room, kitchen and an attached garage. LPA observed smoke detectors/carbon monoxide in common areas and bedrooms are operational. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, and showers were free of mold/mildew. Water temperature measured around 113.1 F degrees. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards, doorways were free of obstructions. First aid kit had all the required elements including bandages, tweezers, thermometer, and scissors. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. LPA observed sharps locked and inaccessible to residents in a cabinet in the garage. LPA also observed toxin substances secured in the same cabinet in the garage.

Annual continuation on LIC809-C

There are two exit gates that are self-latching and operational on both sides of the house. LPA observed PPE supplies, emergency food and water stored in the garage. Facility provides activities based on their personal choice. Residents like to go for walks around the neighborhood and inside the facility. They play bingo, color, read magazines or books. A fitness instructor comes to the facility to have residents do exercises and dance. High school volunteers bring their pets for pet therapy for the residents. At the time of the visit, LPA observed resident eating lunch and lounging in the living room watching television.

At 2:47 PM LPA reviewed medication storage and administration. Medications are stored in a locked cabinet in the garage. Medications are being administered per physician order. LPA interviewed residents regarding their quality of care and spoke to staff present regarding care provided.

Based on the observation made during today’s visit, no deficiencies were noted today in the areas inspected per Title 22 Division 6 of the California Code of Regulations.

This report was reviewed with Administrator Ronald Wilkes and a copy of this report LIC809, along with the 809-C, LIC858, and LIC859 were read and provided to the facility.