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25 | Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit with staff Emily Naki. Administrator Chanel Bernarte later arrived to meet with LPA. According to the facility’s license, the facility is licensed for four (4) ambulatory clients. There was a total of four (4) clients in care.
LPA, accompanied by staff, toured the interior and exterior of the facility, and inspected each client bedroom. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Extra linens and hygiene supplies were present. Hot water temperature was in compliance.
There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. There were no sharp objects, toxic chemicals/poisons, or open-faced heaters accessible to clients. Medications were labeled, as required, and stored in locked areas. No pools or bodies of water on premises.
Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher and first aid kit present. Required licensing postings were observed in visible areas of the facility.
LPA interviewed staff and reviewed multiple staff/client files. Two (2) out of four (4) staff files reviewed had missing forms. Client files reviewed contained all required documents.
Deficiencies were cited per California Code of Regulations, Title 22 (refer to the attached LIC 809-D). A Plan of Correction was jointly developed with the Administrator. An exit interview was conducted with Bernarte, to whom a copy of this report, the LIC 809-D, the LIC811 Confidential Names List, and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.
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