At 10:20am, LPA and one of the staff on duty inspected the facility’s physical plant including but not limited to the kitchen, dining room, client bedrooms, client bathrooms, laundry room, living area, common TV area, and outside of the facility to ensure compliance with Title 22 regulations. The facility is a one-story structure located in a residential neighborhood. There were no bodies of water on the premises. Outside of the facility was observed to be clean and clear of obstructions. Additionally, LPA observed outdoor furniture for clients’ use and covered area for outdoor activities. A damaged and detached sliding door screen for the sliding door located at the dining room going to the covered porch was observed. Per interview with staff, the screen was damaged by one of the client in care a day prior to this visit. Technical advisory was provided to repair or replace the sliding door screen. Entrance, exits and hallways were observed to be clear of obstructions. LPA observed 4 client bedrooms, 2 bathrooms for client use. One of the bathroom is located in bedroom #1 in the facility sketch. LPA observed beds and bedding supplies were in good condition, adequate lighting was provided, and sufficient storage for the client’s personal belongings. Bed linens, comforters, and bath towels were adequately stocked during the visit. Bathrooms were observed to be operational and adequately supplied.

LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were locked and not accessible to clients in care. The kitchen was inspected, and sufficient 2-day perishable and 7-day non-perishable food was maintained adequately. There are 2 additional refrigerators/freezers in the garage. Technical advisory was provided for licensee to obtain thermostats for each of the refrigerators/freezers in the garage to ensure temperatures are maintained. Room temperature was maintained in the facility at 72 degrees F. {Con't to LIC809-C}

Water temperature in one of the bathrooms located inside bedroom #1 was measured at 106 degrees F. Smoke detector in the dining/family room area was tested and found to be operable during this visit. LPA did not observe presence of carbon monoxide detector in the facility. Per interview with the administrator and staff, carbon monoxide monitor is missing and will install one later today.

Medication storage area was observed to be locked and inaccessible to clients in care. Medications were reviewed for accuracy. First aid kit was observed to have adequate supplies and accessible to staff. The facility maintains for each client Centrally Stored Medication, Destruction Record and PRN Log. LPA observed the facility's infection control practices. All mandated inspection control posters were posted. Facility has appropriate internet access available for client use. LPA observed activity calendar in the kitchen area and also observed sufficient equipment and supplies to meet activity program needs of clients in care.

During this inspection, LPA conducted an audit of facility files, 4 client files, and three (3) staff files for regulatory compliance. All staff noted on LIC 500 have criminal background clearances and are associated to this facility. All client files reviewed contained all required contents including admission agreements, medical assessments, and individual program plan (IPP). All staff files reviewed contained required contents including health screening, TB results, current first aid/CPR, and initial and ongoing trainings. Facility’s liability insurance is current per regulatory requirements. LPA observed that facility conducts monthly fire drills.

LPA requested an updated copy of LIC 308, LIC 500, surety bond and liability insurance.

Per California Code of Regulations (Title 22, Division 6, Chapter 8), the following deficiencies has been observed and citation issued (ref. LIC 9099-D). Note: *Citations not cleared by the due date will be a $100 fine assessed for each citation until it is cleared. Civil penalties will continue to accrue until Proof of Corrections (POC) is cleared.

An exit interview was held with Orlando Carpio, administrator, and a copy of this report and appeal rights were provided to the facility.