Routine inspection·November 6, 2024

On 11/6/2024 at 1:15PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with caregiver, Olivia Aquino and explained the purpose of the visit. Administrator, Giselle Adams arrived an hour later, but was unable to stay to sign the reports and authorized caregiver to sign licensing reports. 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 and last serviced on 7/19/2024. One week of nonperishable and 2-day of perishable food supplies were available. Hot water temperature was measured at 116.4 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. First Aid kit is complete. Last fire drill was conducted on 10/15/2024. LPA reviewed 6 residents and 3 staff files starting at 2:10PM. LPA reviewed a sample of resident's medications. LPA interviewed 2 staff during inspection. At 1:40PM, LPA observed unlocked medications in the kitchen drawer. Staff locked up the medication during inspection. At 1:45PM, LPA observed unlocked cleaning supplies in cabinet under the kitchen sink. The lock was not re-installed after cabinet was painted. At 3:20PM, LPA observed R6 was in room 3 and records indicates that R6 is bedridden. Facility does not have a bedridden fire clearance. (Continue on LIC809C...) At 4:29PM, LPA observed R1's vitamin D3 is 400 unit indicated in the doctor's order. However, LPA observed vitamin D3 bottle given was 2000 unit. R1 was given multi-vitamins and have acetaminophen without doctor's order. 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 Olivia Aquino. A copy of this report, civil penalty, and appeal rights was provided.