Routine inspection·February 21, 2024

On 2/21/2024 at 9:50am, Licensing Program Analysts (LPAs) Carol Fowler and Tonica Syess-Gibson, arrived unannounced to continue the 1-Year Annual Required inspection visit. LPAs met with Michael Sharkey, Administrator, Sarah Husain Business Office Manager and Imelda Macabayah Health and Wellness Director and explained the purpose of the visit. LPAs toured the facility with Health and Wellness Director including but not limited to apartments, bathrooms, kitchen, common area, med tech room, and outside. LPAs toured apartments #102 and #140. All outdoor and indoor passageways are kept free of obstruction. A comfortable temperature is maintained at 76 degrees Fahrenheit. LPAs observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 112.6 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non slip shower mats. There is a minimum of 7-day supply of non-perishable and 2-day of perishable foods. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 11/17/2023. Emergency disaster plan last updated 8/23/2023. First aid kit was observed to be complete. Fire drill was last conducted on 1/10/2024. Continued on LIC809C. Continued from LIC809. LPAs reviewed ten (10) resident records and one (1) staff record, which were all found to be incomplete. LPAs requested the following documents to be submitted to CCLD by 2/29/2024. LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance Deficiencies observed by LPAs during record review: At 1:00PM LPA observed staff and residents file incomplete. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. LPAs interviewed three (3) residents. Exit interview conducted. Copy of report, LIC-809 & 809C, LIC-809D (Deficiency Page), Plan of Corrections, and Appeal Rights discussed and provided to staff.