Routine inspection·August 1, 2024

On 8/1/2024 at 10:20AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with General Manager, Michael Fillari and Health & Wellness Director, Susan Donaghy. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, activity rooms, kitchen, common areas, and outdoor area. Centrally stored medications were locked in different carts located in the med room. First Aid kit is complete. The facility has a written emergency disaster plan. Smoke detectors were interconnected with sprinkler system. Carbon monoxide detector was observed. Fire extinguishers were observed to be full and last serviced on 2/1/2024. One week supply of nonperishable and 2-day supply of perishable foods were available. Facility orders food supplies twice a week. Freezer’s temperature was registered at -2 degree F while the refrigerator’s temperature was recorded at 40 degrees F. Hot water temperature was measured at 112 degrees F in a resident's bathroom sink. Grab bars and non-skid mats were observed. There were adequate lights in each room. Indoor and outdoor passages were free of obstruction. Last fire drill was conducted on 7/25/2024. LPA reviewed 5 residents and 5 staff files starting at 12:30PM. LPA interviewed 4 residents and 4 staff starting at 3:00PM. LPA reviewed a sample of resident's medications starting at 4:00PM. At 4:15PM, LPA observed R5 did not have Baqsimi nasal spray and Hydroxyzine HCL PRN medications available. Record review shows that the two medications were in R5's current MAR. The deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiency may result in civil penalties. Exit interview conducted. A copy of this report, civil penalty, and appeal rights were provided.