Familycare Home - Montara

Type of visit: Required - 1 Year

On October 03, 2024, Licensing Program Analysts (LPAs), Venus Mixson, and Yolanda Delgado made an unannounced visit to the facility for the purpose of conducting the Required Annual inspection, and met with Administrator, Dexter Ko and introduced themselves and stated the purpose for the visit. Infection Control: LPAs observed the hand washing stations in the facility restrooms. LPAs observed PPE equipment and cleaning supplies to do regular cleaning of the facility. LPAs reviewed the facility's infection control plan and found all required infection control measures met. PHYSICAL PLANT: Facility is licensed for four and is operating at 100 % capacity of four which is within the conditions and limitations of the license. Outdoor and indoor passageways are kept free of obstruction. No pool or body of water was observed on the property. According to Administrator, there are no known weapons kept in the home. Disinfectants, cleaning solutions, and poisons were inaccessible to clients in care. Temperature was within in regulations for this time of day and the season. There was sufficient lighting throughout the facility and the Hot water tested within regulations at 107.5 degrees F. Fire extinguisher located in hall area has proper inspection tag and was inspected 09/18/2024. The smoke and carbon monoxide alarms were in the green and last inspected on today and were operable. The interior and exterior areas of the home were observed to be clean and organized. FOOD SERVICE: There was a variety of food which appeared to be selected and stored in a safe and healthful manner. Food supply of nonperishable and perishable foods was sufficient. The kitchen was observed to be clean. LPAs observed the required two-day supply of perishable and seven-day supply of non-perishable foods. Care & Supervision/Administration: Adequate staffs are present for the supervision of residents in care, two at present and the Administrator arrived shortly after. Floor plans, telephone numbers and personal rights were found posted in the facility. The listed administrator possesses an administrator certificate that they have paid for a renewal as the expiration date was 09/13/2022. Record Review and Resident/Staff Files: LPAs reviewed staff files and reviewed the facility's staff schedule. Staff files reviewed have criminal clearance and updated training along with CPR/First Aid Certification. Four client files were reviewed and possessed required paperwork. MEDICATION: Medications were reviewed for residents in care and medications were labeled and maintained in compliance with label instructions and State and Federal law. Medications were observed to be safe, locked, and inaccessible to residents in care. Medications and medication documentation was observed to be well organized and monitored. Disaster preparedness: LPAs reviewed the facility's emergency and disaster plan as well as disaster training binder. LPA's observed the last fire drill was conducted on 09/02/2024, and met the department standards. No deficiencies were cited per Title 22, Division 6 of the California Code of Regulations at this time. An exit interview was conducted where a copy of this report was provided to administrator, Dexter Ko. No deficiencies were cited per Title 22, Division 6 of the California Code of Regulations at this time.the state’s words, verbatim · CDSS document, Oct 3, 2024

Type of visit: Required - 1 Year

On October 13, 2023, Licensing Program Analyst (LPA), Venus Mixson arrived to the facility unannounced in order to conduct the required annual inspection and met with the Administrator, Joseph. The LPA introduced herself, and stated the purpose of the visit. LPA Mixson toured the facility and inspected the facility inside and outside, and there were no obstructions to the indoor or outdoor passageways at the time of this visit. The facility is a single story home, located at 9781 Via Montara, Moreno Valley, CA. 92557. Physical Plant: The facility phone number is 951-924-0181, and is operable. The LPA observed the resident bedrooms, and bedrooms are equipped with required furniture as per Title 22. The LPA inspected the facility bathrooms, and the hot water temperature tested within regulations. The two bathrooms were clean and appliances were operating appropriately at the time of this visit. The facility is equipped with operating smoke detectors, carbon monoxide alarms, and fire extinguisher. The LPA observed required postings such as; the Ombudsman poster, "If you See Something, Say Something" and the "Personal Rights" postings were posted in a common area. The cleaning supplies and sharp items were kept locked and inaccessible to the residents. There was a designated storage space for the resident and staff files. Medications: were reviewed, were locked, inaccessible to residents, and had a least a 30 day supply at time of the visit. The overall facility is clean, neat and organized, the furniture is in good condition. The facility air conditioning and other appliances were operable currently at the time of this visit. Food Service: Non-perishable and perishable food supply is sufficient per regulations, and there are a variety of food types available for residents. Dishes and utensils were in sufficient supply and stored properly. Care & Supervision Facility has sufficient staff, two at the time of this visit, and all residents were away at the day program. Records Review: The LPA reviewed three resident files, and three staff files. There were no Title 22, Division 6 Regulation violations observed and/or cited during todays visit. An exit interview was conducted and a copy of this report, along with the LIC 811, was given to the Administrator, Joseph Dexter.the state’s words, verbatim · CDSS document, Oct 13, 2023