Routine inspection·May 21, 2024

On 5/21/2024 at 2:00PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with caregiver, Merlene Sulph and explained the purpose of the visit. Manager, Carmen Nica arrived an hour later, but was unable to stay until the end of inspection. The facility’s fire clearance was approved for 1 ambulatory and 5 non-ambulatory residents of which 2 residents maybe under hospice care. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, garage, and outdoor area. Smoke and carbon monoxide combination detectors were observed. Fire extinguisher was observed to be full. One week of nonperishable and 2-day of perishable food supplies were available. Hot water temperature was measured at 111.6 degrees F in the hallway bathroom. LPA observed grab bars and non-skid mat in the bathrooms. There were adequate lights in each room. Resident rooms were observed to be cleaned and fully furnished. Last fire drill was conducted on 3/15/2024. LPA reviewed resident and 3 staff files starting at 2:50PM. LPA reviewed a sample of resident's medications during inspection. LPA interviewed resident and staff starting at around 5:15PM. At 2:20PM, LPA observed unlocked cleaning supplies in the staff room, unlocked knives in the kitchen, and unlocked gardening tools in the backyard. Staff locked up the cleaning supplies, knives, and gardening tools during inspection. At 2:30PM, LPA observed unlocked medications in the staff room, refrigerator, and kitchen drawer. Staff locked up the medications during inspection. (Continue on LIC809C...) At 3:00PM, LPA observed R1 does not have a current medical assessment and appraisal needs & service plan on file. At 5:30PM, LPA was informed that staff does not document resident's changes in condition. LPA did not observe facility notes or care notes for resident. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiencies may result in civil penalties. Exit interview conducted with Merlene Sulph. A copy of this report and appeal rights was provided.