Routine inspection·April 9, 2024

On 4/9/2024 at 9:50AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Caregiver, Wilma Nacis and explained the purpose of the visit. LPA spoke with Administrator, Mercedes Morales over the phone and stated that caregiver can sign the licensing reports. 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 9/11/2023. One week of nonperishable and 2-day of perishable food supplies were available. Hot water temperature was measured at 110.8 degrees F in the hallway bathroom. LPA observed grab bars and non-skid mat in the bathrooms. There were adequate lights in each room. First Aid kit is complete. Last disaster drill was conducted on 3/14/2024. LPA reviewed 2 resident and 3 staff files starting at 10:45AM. LPA reviewed residents' medications starting at 2:30PM. LPA interviewed 2 residents and 2 staff at 3:00PM. At 11:50AM, LPA observed R1 does not have physician's report and TB test result on file during record review. At 2:50PM, LPA observed doctor's order (dated 11/2/2023) for R1's vitamin D3 was for 50mcg and Acetaminophen was for 325mg. However, facility has bottles of vitamin D3 125mcg and Acetaminophen 500mg. Facility does not have Lidocaine 4% top cream available for R1 with a doctor's order. 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.