Routine inspection·December 12, 2023

On 12/12/2023 at 9:00AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with caregiver, Marietta Bugayong and explained the purpose of the visit. Administrator, Corazon Nunez arrived an hour later. The facility’s fire clearance was approved for 6 non-ambulatory residents of which 4 residents maybe under hospice care. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, garage, and outdoor area. Smoke and carbon monoxide detectors were observed. Fire extinguisher was observed to be full and last serviced on 6/29/2023. One week of nonperishable and 2-day of perishable food supplies were available. Hot water temperature was measured at 117.1 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 fire drill was conducted on 11/10/2023. LPA reviewed 4 resident and 3 staff files starting at 9:50AM. LPA interviewed 2 residents and 2 staff at 12:45PM. LPA reviewed a sample of resident's medications starting at 1:30PM. At 9:30AM, LPA observed dish soap and disinfectant wipes were stored with food supplies. Staff removed those items during inspection. At 10:15AM, LPA observed R1 and R4 does not have TB test results on file during record review. At 10:20AM, LPA observed R2 and R4 does not have current medical assessments on file. (Continue on LIC809C...) At 11:30AM, LPA observed S2 and S3 does not have current First Aid training completed. At 12:00PM, LPA observed S2 and S3 does not have current hospice training on file. At 1:45PM, LPA observed R4 ran out of medication (Senna 8.6mg) and does not have additional bottle available. LPA observed R4 has doctor's order for Senna 8.6mg dated 3/27/2023. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights was provided.