Routine inspection·June 13, 2024

On 6/13/2024 at 2:15PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with caregiver, Remedios Manalang and explained the purpose of the visit. The facility’s fire clearance was approved for 6 bedridden residents, of which 4 residents may be under hospice care. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, and outdoor area. Smoke and carbon monoxide detectors were observed. Sprinkler system observed. Fire extinguisher was observed to be full and last serviced on 6/5/2024. One week of nonperishable and 2-day of perishable food supplies were available. Hot water temperature was measured at 105 degrees F in the hallway bathroom. LPA observed grab bars and non-skid mats 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. LPA reviewed 6 residents and 4 staff files starting at 3:15PM. LPA interviewed 2 residents and 2 staff starting at around 4:00PM. LPA reviewed a sample of resident's medications during inspection. At 3:45PM, LPA observed R1 does not have TB test on file. At 4:00PM, LPA observed facility did not complete the disaster drill every quarter (every 3 months). Last disaster drill was conducted on 2/1/2024. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and Health & Safety Code. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights were provided.