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25 | Licensing Program Analyst (LPA) Galarza conducted an unannounced Required- 1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA explained the purpose of the visit to Administrator Juan Cruz. The facility is licensed for ambulatory only residents 18-59 years old. The facility formerly known as "Ramona Guest Home - Bellflower" had a change of management company and Administrator change that was effective 1/16/2024. A change of ownership application was submitted and is pending.
During today's visit the following was completed:
NOTE: Only Type A citations were issued today.
- LPA toured the interior and exterior physical plant. Fifteen (15) resident rooms, 2 live-in staff rooms, all common areas, activity rooms, common bathrooms, kitchen/med-tech room, dining room, laundry room, pantry room/storage room, and laundry room were inspected. The side corridor/yard exit area gate has an unapproved lock on the door preventing egress because it requires a key, and the Administrator does not have a key to the lock. Citation was issued.
- Water temperature readings throughout the three (3) facility buildings did not measure between the required 105 - 120 degrees Fahrenheit. Temperatures ranged between 125 DF - 142.2 DF. Citation was issued.
- Review of medications and Medication Administration Records was completed. Residents (R1) had a PRN medication in their room that does not have a physician order. Citation was issued.
- Staff Criminal Record clearance was checked. Staff (S1) has worked at the facility since 2014 and is not associated. Citation and civil penalty was issued.
- Upon return LPA will finish reviewing resident files and will review all staff files. Resident interviews are pending.
Due to time constraints, an annual continuation visit will be conducted at a future date.
Exit interview was conducted with Administrator Juan Cruz. A copy of the report and appeal rights were issued.
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