L & A Residential Care Home

Type of visit: Required - 1 Year

At approximately 10:00am, Licensing Program Analyst (LPA) Contreras arrived unannounced to conduct a required annual inspection visit. LPA was greeted by facility administrator (admin) Romulo Bautista. Facility is a Residential Care Facility for the Elderly that has a fire clearance approved for six ambulatory of which 6 may be non-ambulatory. There are currently 6 residents in care. LPA toured the building and grounds which was found to be clean and in good repair. Facility was clean and at a comfortable temperature. LPA observed all walkways and exits to be unobstructed. All required postings were in a highly visible area. Fire extinguishers were charged and last inspected 8/20/2026. Fire alarms and carbon monoxide detector were tested and operational. All signal alarms throughout facility were operational and functional. Outdoor emergency exit clear from obstruction. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable foods. Facility kitchen, refrigerators and freezers were clean, and food was stored properly with expiration dates noted. Toxins are stored in a locked cabinet and inaccessible to residents. Sharps and knives were locked in pantry. Emergency food observed. Facility had an ample supply of linens, towels and extra hygiene products for residents. All bedrooms were equipped with lighting, a night stand and chest of drawers. All bedrooms were clean and in good repair. Resident bathroom had required bath mat and grab bar. Water temperature measured at faucets accessible to residents is within the allowable range of 105 to 120 degrees F. Disaster drills are conducted quarterly. continued onto 809-C.... continued from 809.... LPA reviewed 6 of 6 resident records. All required documentation was present. Physician reports were up to date. LPA reviewed 4 staff records. All required documentation was present. LPA and Admin conducted a spot check of medication and medication records. Medication is centrally stored in a locked cabinet. No deficiencies Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report-Retrieved during during LIC308- Designation of Responsibility- Retrieved during visit Liability Insurance -Retrieved during visit No deficiencies given in today's visit. Report read with Administrator. Printer malfunction, LPA to send copy of report to Admin. Exit interview conducted.the state’s words, verbatim · CDSS document, Sep 17, 2026

Type of visit: Required - 1 Year

At approximately 10:00am, Licensing Program Analyst (LPA) Contreras arrived unannounced to conduct a required annual inspection visit. LPA was greeted by facility administrator (admin) Romulo Bautista. Facility is a Residential Care Facility for the Elderly that has a fire clearance approved for six ambulatory of which 6 may be non-ambulatory. Facility has approved hospice waiver for 2 residents. LPA toured the building and grounds which was found to be clean and in good repair. Facility was clean and at a comfortable temperature. LPA observed all walkways and exits to be unobstructed. All required postings were in a highly visible area. Fire extinguishers were charged and last inspected 07/01/2025. Fire alarms and carbon monoxide detector were tested and operational. All signal alarms throughout facility were operational and functional. Outdoor emergency exit clear from obstruction. LPA observed the 2 day supply of perishable food requirement to be lacking per Title 22 Regulations. Refrigerator appeared to be lacking the proper nutrients and food supply to meet residents dietary needs. Refrigerator in garage observed to store mainly bread. Freezer had ground beef, patties, and fish unlabeled with no expiration dates noted in ziplock bags. LPA had conversation with admin that there should be sufficient perishables in refrigerator and freezer to be enough for 2 days and food must be labeled with expiration dates including proper storage. Facility kitchen, refrigerators and freezers were clean. Toxins are stored in a locked cabinet and inaccessible to residents. Sharps and knives were locked in pantry. Facility had emergency water to meet regulations but lacked the 72 hour supply of emergency food (Advisory given). **During inspection, facility brought groceries with enough food supply to meet Title 22 Regulations. Admin and LPA had thorough conversation about food service with advisory. Facility to send food grocery receipts for the next 3 weeks to ensure food service compliance. Failure to comply may face potential citation and civil penalties from CCL. Continued onto 809C... continued from 809C.... All bedrooms were equipped with lighting, a night stand and chest of drawers. All bedrooms were clean and in good repair. Resident bathroom had required bath mat and grab bar. Facility had an ample supply of linens, towels and extra hygiene products for residents. Water temperature measured at 116.6 degrees F at faucets accessible to residents which is within the allowable range of 105 to 120 degrees F. Disaster drills are conducted monthly with the last drill conducted on 8/02/2025. LPA reviewed 6 of 6 resident records. All required documentation was present. Physician reports were up to date. LPA reviewed 4 staff records. All documentation found up to date. LPA and Admin conducted a spot check of medication and medication records. Medication is centrally stored in a locked cabinet. Medication was observed to be pre-poured for the next morning not in its original containers (Deficiency Cited, See 809D). Medication PRN was not listed in Centrally Stored Log( Advisory given). Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report LIC308-Designation of Responsibility Liability Insurance Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Appeal rights given and discussed with Administrator. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and report read with Administrator.the state’s words, verbatim · CDSS document, Sep 25, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced to conduct an Annual Inspection. The Residential Care Facility has 6 residents. The facility has a waiver for 6 hospice. There were 2 staff on site. LPA was allowed access by carestaff. Administrator arrived shortly. LPA conducted a walk-through of the facility with Administrator. Required postings were observed at the entrance to building. Facility was a comfortable temperature. Fire Extinguisher was fully charged and last serviced on 08/15/2024 and easily accessible. All smoke detectors and carbon monoxide detectors are hardwired and operational, and checked monthly. Last fire drill was done on 10/01/2024. Water temperature was within regulation in 2 out of 2 bathroom faucets tested. All exits were unobstructed and doors were operational, with auditory alarms on all external doors. There was an ample supply of fresh and non-perishable foods. Linens were in good supply. Residents were supplied with activities and a nice area to socialize and visit, with a lovely little garden full of squash and tomatoes. LPA performed a review of staff and resident files and found them to be complete. Staff are current on the CPR and First Aid training, as well as initial and yearly trainings. Exit interview conducted with Romulo Bautista, Administrator whose signature on this document confirms receipt. No deficiencies cited during this inspection.the state’s words, verbatim · CDSS document, Oct 3, 2024