Warbler RCFE

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Debbie Palacios conducted an unannounced one (1) year required visit. LPA was granted entry by caregiver, Rex Magnabijon and caregiver Cornelia Manalad , who were informed of the purpose of visit. At the time of the visit there were two (2) staff, and four (4) residents present; one (1) of the residents was getting ready to leave to the Adult Day Program. All staff present were observed to have obtained proper fingerprint clearance and were associated to the facility. LPA Palacios observed the following during today's visit: LPA Palacios conducted a tour of the facility with caregiver, Rex and Cornelia. The physical plant is a two- story structure that contained four (4) resident bedrooms, one (1) staff bedroom located on the second floor, and two (2) bathrooms for residents and one (1) bathroom for the staff. The facility has one (1) dining room, kitchen, two (2) living rooms; one (1) in the entrance and one (1) near the kitchen area called the Activity Area, garage, and a gated backyard. Indoor and outdoor passageways were free of obstruction. There were no bodies of water located on the property. The facility has more than a two (2) day supply of perishable food and seven (7) day supply of non-perishable foods. Extra linen were observed in the closet located in the hallway. There were two (2) refrigerators observed; one (1) in the kitchen and one (1) in the garage that were observed to be fully stocked. Dishes and utensils were in sufficient supply and in good repair. Knives and sharp items were observed in a locked cabinet in the kitchen; cleaning solutions and disinfectants were locked in the cabinet underneath the sink. LPA also observed the facility has a storage cabinet in the garage filled with additional cleaning solutions, disinfectants, and laundry detergents. Resident bedrooms had the required bedding, furniture, and lighting. The smoke and carbon monoxide detectors were tested and were observed to be operable. LPA observed two (2) Fire Extinguishers mounted on the walls dated 06/03/24. Staff member Rex tested one (1) of the smoke alarms/carbon monoxide detectors and LPA observed it to be operational. Centrally stored medication was observed in a locked cabinet in the dining area. The outdoor patio was observed to have shaded seating to encourage outdoors socialization. The living room near the kitchen area was observed to have board games and other activities. The facility was observed to be in a clean condition; free of dirt, insects, rodents, and pests. Staff files reviewed include but not limited to have personnel records, health screenings, criminal record clearance, required training, and valid first aid/CPR certification. Resident files included but are not limited to signed admission agreements, pre-placement, personal rights, house rules, needs and service plans, and updated physician reports. Facility sketch, license and emergency disaster plan is posted on a wall in the kitchen area and in the entrance of the facility. During today's visit, LPA did not observe any immediate violations or concerns. An exit interview was conducted, and a copy of this report was reviewed and provided.the state’s words, verbatim · CDSS document, Dec 5, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Janira Arreola conducted a required annual visit. LPA was greeted and was granted entry and met with Staff, Cornelia Manalad, who was informed of the purpose of the visit. At time of visit there were (3) clients and one (2) staff present. The facility is a two story home with five (5) bedrooms and (3) bathrooms with attached garage. All resident rooms are located on the first floor. The facility does not have a pool or fire arms are kept at the facility. The facility is residential care facility for the elderly vendorized through Inland Regional Center. The residents served are elderly ages 60 and above. LPA conducted a tour of the interior and exterior, reviewed facility documents and conducted interviews. LPA observed the following: Infection Control: LPA observed the hand washing stations in the facility restrooms and kitchen had hand hygiene supplies and hand washing signs. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. Physical Plant: LPA observed the client bedrooms and staff office. Physical plant, floors, windows, and doors were observed to be clean and fixtures and furniture were present and in good repair. The facility's outdoor area was observed to be free of hazards and contained outdoor furniture and shaded area for clients. Laundry equipment was observed to be in good working condition. The sharp and dangerous objects were observed to be locked and inaccessible to clients. The smoke detector and carbon monoxide was operational, and the hot water temperature 112F. Food Service: LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. LPA observed the facility met the required 2-day supply of perishable and 7-day supply of non-perishable foods. Record Review and Resident/Staff Files: LPA reviewed staff files and training that contained staff criminal clearance and updated training along with CPR/First Aid. Client files were reviewed and possessed all required paperwork. Health Related Services/ Incidental Medical Services: All client medication was locked in hallway closet. LPA reviewed client medications for (1) client and found all medication listed on MARS and all required labeling was found to be in place. Disaster preparedness: LPA reviewed the facility's emergency and disaster plan. LPA documented technical note for licensee to update the plan to new LIC610D. LPA reviewed documentation showing last fire drill conducted 12/2/23. LPA observed all facility exits were clear from obstructions. No deficiencies were cited at the time of the visit. An exit interview was conducted where a copy of this report was provided to Staff, Cornelia Manalad.the state’s words, verbatim · CDSS document, Dec 7, 2023

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.