Routine inspection·August 16, 2023

On this day, August 16, 2023, at 11:40 a.m,, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA met with Lulin 'Lucy' Wu, administrator, and informed the reason for visit. Wendy Wong and Olive Manalastas, licensees, arrived after about 40 minutes. Facility has Infection Control Plan that was submitted and received by LPA on June 28, 2022. LPA toured the facility inside out with the administrator. LPA inspected the kitchen, dining room, living room, reception area, shower room, ensuite bathrooms/toilets, front, side and backyards. LPA randomly selected 6 residents rooms for inspection. Shower room was observed equipped with bathing chair, non-skid mat and grab bars. Toilets were also observed with grab bars, paper towel in dispensers for drying hands and toiletries. Food supplies were observed good for 2 days of perishables and 7 days of non-perishables. Central storage for medications was observed locked. Storages in the yard where cleaning supplies are kept were all observed locked. Facility has smoke and carbon monoxide detectors in operating condition. Hot water temperature in one of the ensuite toilets was tested, and measured at 106 degrees Fahrenheit. Facility conducts drills every quarter, and records showed last conducted July 15, 2023.. LPA reviewed 5 staff and 5 residents files, and interviewed 3 staff and 3 residents. Facility handles 8 of residents' allowance according to the administrator. Cash checked and compared with record. Medications inspected and compared with records and doctor's orders. ....continued on 809C LPA observed the following: -at 12:02 pm, uneven and cracked pavements on the side and backyards. -at 4:00 pm, LPA observed resident (R3) has 1 medication listed on LIC602A but the facility does not have the medication. It's not clear whether or not the medication is still needed. LPA received the following updated/current documents on this day: 1. LIC308 Designation of Facility Responsibility 2. LIC500 Personnel Report 3. LIC610E Emergency Disaster Plan (9 pages) 4. LIC400 Affidavit Regarding Client/Resident Cash 5. Proof of Surety Bond Coverage 6. $3M Liability Insurance certificate Deficiencies are cited from Title 22 California Code of Regulations, and listed on 809Ds. Failure to submit proof of corrections by plan of correction due dates, and any repeat violation within 12 month period may result in civil penalties. Deficiencies and plan and proof of corrections were discussed withthe licensees and administrator. Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided.