A & E Residential Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced Annual Required Visit on 08/06/2023 at 9:25 am. LPA was met by Administrator Bituin and explained the purpose of the visit. Facility is licensed to serve residents over 60 years old. The facility cares for elderly residents and is allowed to care for six (6) bedridden residents. LPA Ramirez requested copies of Personnel Report (LIC 500), Resident Roster (LIC 9020) however, due to the facility currently not having any residents or staff, no copies were provided. LPA OBSERVATIONS: Tour began at 9:31 am and was led by Administrator Butuin. The facility is a single-story building located in a residential area with three (3) resident bedrooms, one (1) staff bedroom, one (1) staff bathroom, one (1) resident bathroom, kitchen, dining room, living room, front yard, backyard, and attached garage. Front Yard: Was clean and well maintained. No hazards were observed. Kitchen: LPA Ramirez observed sufficient 2 days of perishables and 7-day supply on non-perishables. LPA Ramirez observed knives and sharps located kitchen cabinet, to be inaccessible to zero (0) out of zero (0) residents in care. LPA Ramirez observed several bottles of cleaning solutions and disinfectants located in bottom kitchen cabinet to be inaccessible to zero (0) out of zero (0) residents in care. Kitchen appliances were observed to be clean and in working order. LPA Ramirez observed fully charged fire extinguisher in this area. Dining Room/Living room: Dining room was observed to be clean and contained one table with plenty of seating. Living room was observed plenty of seating and lighting. Linen Closet: Contained plenty linens, towels, and hygiene products. Resident Rooms 1 - 3: LPA Ramirez observed all resident bedrooms to contain the required linens, furnishings, and lighting. LPA Ramirez observed required auditory devices on exits. Bathrooms: Signs promoting hand washing were observed. Water temperature in resident bathroom#1 was measured at 114.2 degrees F which is in the required 105 – 120 degrees F. Bathroom was observed to be clean. SEE 809-C Centrally Stored Medications: N/A due to no residents in the facility at this time. Backyard: LPA observed plenty of seating and shade. No large bodies of water were observed. Emergency Drills: N/A due to no residents in the facility at this time. Carbon Monoxide Detectors/Fire Alarm/Fire Extinguisher & Emergency Disaster Plan: LPA observed carbon monoxide in hallways. LPA Ramirez observed posted Emergency Disaster Plan. Staff Personnel Files: N/A due to no residents in the facility at this time. Resident Files: N/A due to no residents in the facility at this time. Liability Insurance & Infection Control Plan: Licensee will send Liability Insurance and Infection Control Plan by 8/14/23. No deficiencies are being cited today. Exit interview was conducted Administrator Butuin and a copy of this report and appeals rights were provided.the state’s words, verbatim · CDSS document, Aug 6, 2023

Type of visit: Required - 1 Year

Licensing Program Analyst's (LPA) Valeria Maldonado and Kimberly Ramirez conducted an unannounced visit at the facility for a required annual inspection. LPA's Maldonado and Ramirez met with administrator Emelita Bituin and explained the reason of the visit. LPA used the infection control tool to evaluate the facility. LPA observed the facility plant, COVID-19 procedures, PPE, and food supply. Facility has submitted a mitigation plan and was approved on 05/05/21. Currently, the facility has no residents residing here. The facility is a one story house located in a residential neighborhood. The home consists of a living room, dining room, family room, kitchen, four bedrooms, two bathrooms, laundry room, and an attached garage. LPA's observed sufficient PPE supplies stored in the garage and around the home. All bedrooms have the required linen and proper furniture. All toilets, hand wash basins, and bath tub/showers are fully stocked, clean, safe, sanitary and in good operation conditions. Bathrooms (RR) have the required grab bars and non skid mats. All sharp knifes and cleaning supplies were locked and inaccessible to persons in care, in the laundry area and in a cabinet under the kitchen sink. LPA's inspected the smoke detector and carbon monoxide and they are all interconnected, operable and in compliance. The hot water measured in RR# 1 at 113.8*F and RR# 2 at 110.8*F. LPA's observed an appropriate food supply of two (2) days perishables and one week (7 days) non-perishables. LPA's observed the front and rear grounds landscaped with ramp leading to the exit and entrance; passageways and outdoor activity area are free of hazards, debris, and obstructions. Due to no residents currently residing in the facility, there's no medication or resident/staff files to be reviewed during the annual inspection. No deficiencies were observed or cited during today's inspection. An exit interview was conducted with administrator Emelita Bituin and a copy of the report was provided.the state’s words, verbatim · CDSS document, Aug 19, 2022

Type of visit: Required - 1 Year

Licensing Program Analysts(LPA) Christine Wong and Alberto Lopez conducted an unannounced annual inspection. LPAs met with administrator Emelita Bitun and explained the reason of the visit. LPA used the infection control tool to evaluate the facility. LPA's observed the facility plant, COVID-19 procedures and observed food supply. Facility has submitted a mitigation plan and was approved on 05/05/21 Currently the facility has no resident reside here. The facility is a one story house located at the residential neighborhood. The home consists of living room, dining room, family room, kitchen, four bedrooms and two bathrooms and attached garage. All bedrooms has required linen and proper furniture. All toilets, hand washing and bath tub/shower are clean, safe, sanitary and in good operation condition. Bathroom have required grab bars and non skid mat. All sharp knifes and cleaning supplies were locked and inaccessible to resident . LPA inspected the smoke detector and carbon monoxide and they are all interconnected, operable and in compliance. The hot water measured in the bathroom and kitchen at 120 degree F. LPA observed an appropriate food supply of two (2) days perishables and one week (7 days) non-perishables. LPA observed the front and rear grounds landscaped with ramp leading to the exit and entrance; passageways are free of obstruction. Outdoor activity area is free of visible hazards, debris. Due to no resident currently reside in the facility, there's no medication to be reviewed during the annual inspection or resident/staff files to be reviewed too. No deficiencies issued under California Code of Regulations of Regulations Title 22. Exit interview conducted. A copy of the report was provided to Administrator Emelita Bituinthe state’s words, verbatim · CDSS document, Sep 10, 2021