Routine inspection·April 19, 2024

On 4/19/2024 at 9:20AM, Licensing Program Analysts (LPAs) G. Luk and L. Holmes arrived unannounced to conduct a Required - 1 Year inspection. LPAs met with Administrator, Jeffrey Emoruwa and explained the purpose of the visit. The facility’s fire clearance was approved for 90 non-ambulatory residents of which 62 may be bedridden and 20 residents may be under hospice care. LPAs toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, common areas, and outdoor area. Centrally stored medications were locked in medication cart. First Aid kit is complete. Smoke detectors were interconnected with sprinkler system. Carbon monoxide detectors were observed. Fire extinguisher was observed to be full and last serviced on 5/2/2023. One week supply of nonperishable and 2-day supply of perishable foods were available. Facility purchase food supplies 2-3 times a week. Freezer’s temperature was registered at -2 degree F while the refrigerator’s temperature was recorded at 38 degrees F. Hot water temperature was measured at 106.5 degrees F in a resident's bathroom sink. Grab bars for each shower and toilet were installed. Non-skid mats were observed. There were adequate lights in each room. Resident rooms were observed to be cleaned and fully furnished. Indoor and outdoor passages were free of obstruction. Last fire drill was conducted on 4/14/2024. LPAs reviewed 5 resident records and 5 staff records starting at 11:30AM. LPAs conducted interviews with 4 residents and 4 staff during inspection. LPAs also reviewed a sample of resident's medications and MAR (Medication Administration Record). At 12:24PM, LPAs observed residents (R1, R2, R3, R4, R5) does not have current medical assessments on file. (Continue on LIC809C...) At 1:30PM, LPAs observed S2, S3, and S4 does not have current First Aid training on file. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted with Jeffrey Emoruwa. A copy of this report and appeal rights were provided.