Routine inspection·March 21, 2024

On 3/21/2024 at 10:20 am, Licensing Program Analyst (LPA) Luisa Fontanilla arrived unannounced to conduct an annual required inspection and met with staff Wilma Bernal. The Administrator was informed over the phone about the purpose of the visit. The Administrator (Administrator cert#6021647740 expiration 12/16/24) arrived at the facility at around 12:50 pm. LPA inspected the facility inside and out including but not limited to bedrooms, bathrooms, dining room, kitchen, living room and outdoor area. The facility’s temperature was maintained at 68 degrees Fahrenheit . Bathroom have grab bars and non-skid mat. The facility has appropriate lighting throughout. Extra linens and towels were observed in the hallway closet. Hot water temperature measured at 115 degrees Fahrenheit. There were sufficient supplies of perishable and non perishable foods. First aid kit was observed complete and updated. Fire extinguisher was observed that appeared full and has purchase date of 3/21/2024. At around 11:00 am, LPA observed Resident 1 (R1) with wound vacuum. Based on interview conducted, R1 is not able to turn from side to side (bedridden). LPA reviewed 5 resident files and 4 staff files. All staff are fingerprint cleared and associated to the facility. All staff have current First Aid and CPR training. There are four residents who are diagnosed with Dementia but do not have current medical assessment. Deficiencies are cited from Title 22 California Code of Regulations (see 809D). Failure to submit proof of corrections by plan of correction due dates, and any repeat violations within 12-month period may result in civil penalties. Civil penalties in the amount of $1,000.00 are assessed for today's visit. Civil penalty determination related to serious injury is pending. continuation on Lic 809C Exit interview was conducted and Appeal Rights was provided to Rodriguez . This is an amended copy of the report issued on 3/21/2024 under Tri City Care Home.