Senior Care Records.

Facility Evaluation Report

Nancita Home, Anaheim09/25/2024Licence 306003971

Capacity6
Census3
Date signed09/25/2024 12:35:28 PM
The inspector’s account

Licensing Program Analysts (LPAs) Joseph Alejandre and Samer Haddadin made an unannounced to visit to conduct the required annual inspection. LPAs were greeted and granted entry to the facility. LPAs met with administrator Ariel Resurreccion and explained the reason for the visit. The Administrator's certificate expires March 11, 2025. LPAs toured the facility with the administrator. The facility is a one story home with seven bedrooms and two restrooms, in which 5 of the bedrooms (1 bedroom is currently vacant) are clients rooms, living room, dining room, kitchen and an attached 2 car garage. LPAs observed the kitchen is clean and organized. The knives and sharp objects are kept locked under the sink. LPAs observed a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. The 5 burner stove lights unassisted. The fire extinguisher in the dining room is fully charged. LPAs observed the client rooms are clean and organized. LPAs observed both bathrooms are clean and operational. Hot water measured 114.9 to 116.6 degrees Fahrenheit. LPAs observed the garage is used for storage of food and supplies. LPAs observed emergency food and water stored in the garage and in the hall closet. Medication is kept locked in the hall closet. No obstacles or hazards observed in the facility. LPAs toured the backyard. There are 2 metal sheds in the backyard. Both sheds are used for storage of old furniture and tools. Both sheds are kept locked. The exit gates are operational. No bodies of water observed. No obstacles or hazards observed in the backyard. The last fire drill was conducted September 02, 2024. Smoke detectors and carbon monoxide detector tested operational. LPAs inspected the first aid kit. The first aid kit has all the required elements.

LPAs reviewed 5 staff files. All 5 staff have the required training including first-aid training. LPAs reviewed all 4 clients medications. 2 out of 4 clients are missing PRN medications. Client 1 is missing PRN Loatadine 10 mg. Client 4 is missing PRN Diphenylamine 50 mg and PRN Lorazepam 1 mg . LPAs reviewed all clients' P& I monies, no discrepancies observed. Deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of the report along with appeal rights was provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction