Routine inspection·June 25, 2025

On 06/25/2025 at 9:15 PM, Licensing Program Analyst (LPA) P. Manalo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Health and Wellness Director, Jeffery Jackson, and explained the purpose of the visit. The Interim Executive Director was unable to come for today's visit and gave authorization for staff to sign the report. LPA toured the facility inside and out including but not limited to 6 residents' apartments, bathrooms, multiple activity rooms, kitchen, common area and courtyard. There are no bodies of water observed. LPA observe lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 73 degrees F. The hot water temperature in a sample of residents’ shared bathroom were measured at 108, 106.2, 109.5, 108.3, 109.9, and 108 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid shower pan. Fire extinguisher was last serviced on 04/07/2025. Emergency Disaster Plan was last posted on 06/25/2025. First aid kit was observed to be complete. At 10:56 AM, LPA reviewed 6 residents records. At 11:30 AM, LPA reviewed 6 staff records and all have current first aid training and associated to the facility. At 2:00 PM, LPA reviewed 3 samples of residents' medications. All records were observed to be complete and up to date. Continue to LIC809-C... Continue from LIC809... Updated copies of the following documents were requested for facility file and are to be submitted to CCLD 07/09/2025: Liability Insurance Current Administrator’s Certificate THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: At 10:12 AM, LPA observed the germicidal wipes near the food counter in the kitchen. At 10:16 AM, LPA observed the medication cart unlocked and unattended while Medtech staff was assisting another resident. At 2:27 PM, interviews with staff revealed that the facility does not know where the emergency drill documentation are stored. The Facility was cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted with Administrator. Appeal Rights and a copy of this report provided.