Around 8:10 AM, LPAs Tea and Arias reviewed six resident files and three 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 on Oct 30, 2024. AD Valencia administrator certificate has an expiration date of Oct 31, 2025. Unfortunately, she does not have a physical copy present due to inaccessibility to printing out the certificate on the portal site.

LPAs Tea and Arias along with AD Valencia toured the facility at 9:06 AM. LPAs toured the physical plant, checked food service, and the first aid kit. The facility is a two-story home, the first floor consists of 3 resident bedrooms, 1 staff room, 2 bathrooms, living room, dining room, kitchen and attached garage. The second floor is only for staff where live in care staff resides, no residents reside on the second floor. LPAs 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 between around 113.5 F degrees and 114 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. LPAs observed sharps locked and inaccessible to residents in a kitchen drawer. LPAs also observed toxin substances secured underneath the kitchen sink.

Annual continuation on LIC809-C

There are two exit gates that are self-latching and operational on both sides of the house. LPAs observed PPE supplies, emergency food and water stored in the garage. Facility provides activities based on their personal choice. Residents play bingo and sing karaoke. The staff also takes residents out to the outings like the park, going to the beach or shopping. At the time of the visit, LPAs observed residents lounging in the family room listening to music and having snacks.

At 9:33 PM LPAs reviewed medication storage and administration. Medications are stored in a locked cabinet in the kitchen area. Medications are being administered per physician order. P&I funds were accounted and there were no discrepancies. LPAs 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 Victoria Valencia and a copy of this report LIC809, along with the 809-C, LIC858, and LIC859 were read and provided to the facility.