Routine inspection·August 29, 2023

On 8/29/2023 at 9:15AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Memory Care Director, Narcisa Gordillo. The facility’s fire clearance was approved for 82 non-ambulatory residents, of which 9 may be bedridden, and 11 residents may be under hospice care. LPA toured the facility with Narcisa including but not limited to bedrooms, bathrooms, dining area, activity rooms, kitchen, common areas, and outdoor area. Centrally stored medications were locked in different carts located in the med room. First Aid kit is complete. Smoke detectors were interconnected with sprinkler system. Carbon monoxide detectors were observed. Fire extinguishers were observed to be full and last serviced on 1/9/2023. One week of nonperishable and 2-day of perishable food supplies were available. Facility orders food once a week. Freezer’s temperature was registered at -20 degree F while the refrigerator’s temperature was recorded at 36 degrees F. Grab bars for each toilet and shower were installed. Non-skid mats/materials 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 6/10/2023. LPA reviewed 5 resident records and 5 staff records starting at 11:06AM. (Continue on LIC809C...) At around 10:30AM, LPA observed hot water was measured at 126 degrees F in a resident's bathroom. Staff lowered hot water temperature. LPA re-measured hot water at 107.5 degrees F. At around 11:45AM, LPA observed R2 and R3 does not have TB test on file during record review. At around 12:30PM, LPA observed S4 does not have current First Aid training. 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. LPA will return at a later time to complete the inspection. Exit interview conducted with Narcisa Gordillo. A copy of this report and appeal rights were provided.