Routine inspection·October 29, 2024

On 10/29/2024 at 9:00 AM, Licensing Program Analysts (LPAs) P. Manalo and J. Clancy-Czuleger arrived unannounced to conduct 1-Year Annual Required inspection. LPAs met with Administrator, Gina Velayo, and explained the purpose of the visit. The facility’s fire clearance was approved for one hundred, twenty (120) non-ambulatory residents, which sixty-four (64) may be bedridden and approved for fifteen (15) hospice. LPAs toured the facility with Administrator, Gina Velayo, including but not limited to residents' apartments, bathrooms, multiple activity rooms, kitchen, common area and courtyard. There are no bodies of water observed. LPAs observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in a sample of residents’ shared bathroom were measured at 102.8 and 106.8 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps and toxic are locked and inaccessible to residents in care. Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher all around the facility was last serviced on 03/15/2024 and kitchen fire extinguisher last serviced on 03/15/2024. Emergency Disaster Plan was last posted on 01/15/2024. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 10/04/2024. At 11:15 AM, LPAs reviewed 6 staff records and 5 of 6 are associated to the facility. At 11:45 AM, LPAs reviewed 6 residents records. Continue to LIC809-C... Continue from LIC809... Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 11/06/2024: LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: At 11:00 AM, LPAs were unable to get accurate read due to malfunctioning thermometer in the freezer. At 11:35 AM, LPAs observed S6 was not associated to the facility. At 12:45 AM, LPAs observed that R1 to R6 did not have a updated and current Appraisal / Needs and Services Plan. 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.