Routine inspection·May 7, 2024

On 5/7/2024 at 10:00AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Administrator, Cristina Nica and explained the purpose of the visit. The facility’s fire clearance was approved for 6 non-ambulatory residents. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, living room, garage, and outdoor area. Smoke and carbon monoxide combination detectors were observed. Fire extinguisher was observed to be full and purchased on 2/21/2024. One week supply of nonperishable and 2-day supply of perishable foods were available. Hot water temperature was measured at 105 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 disaster drill was conducted on 5/2/2024. LPA reviewed 5 residents and 3 staff files starting at 10:58AM. LPA interviewed 2 residents and 2 staff at starting at 12:10PM. LPA reviewed a sample of resident's medications starting at 12:40PM. At 12:50PM, LPA observed doctor's order (dated 4/8/2024) for R4's cranberry was for 650mg. However, LPA observed facility has bottle of cranberry 1,400mg for R4. LPA observed R3 has PRN orders for Lactulose and Tylenol, but facility does not have the medications available for R3. 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 and appeal rights were provided.