Routine inspection·August 11, 2023

On 8/11/2023 at 10:00AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with caregiver, Cathleen Maghinay. Administrator, Janet Quines arrived 3 hours later. The facility’s fire clearance was approved for 5 non-ambulatory residents, 1 ambulatory residents, and 4 residents may be under hospice care. 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 extinguishers were observed to be full and last serviced on 3/27/2023. One week of nonperishable and 2-day of perishable food supplies were available. Hot water temperature was measured at 107.5 degrees F in the hallway bathroom sink. LPA observed grab bars and non-skid mat in the resident's bathroom. There were adequate lights in each room. Resident rooms were observed to be cleaned and fully furnished. First Aid kit is complete. Medications were kept locked in the cabinet located in the kitchen. LPA reviewed 3 resident and 2 staff files starting at 10:45AM. LPA interviewed 2 residents and 2 staff starting at 12:30PM. LPA reviewed a sample of resident's medications starting at 3:00PM. At 10:30AM, LPA observed unlocked comet in the bathroom and unlocked gardening tools in the backyard. Staff locked up the comet and gardening tools during inspection. At 11:00AM, LPA observed R2 and R3's files were incomplete. At 11:30AM, LPA observed S2 did not have health screening on file during record review. (Continue on LIC809C...) At 11:40AM, LPA observed S1 does not have current First Aid training completed. At 2:20PM, LPA observed facility did not have a current disaster drill completed. At 2:40PM, LPA observed S2 does not have medication training documents on file during record review. At 3:10PM, LPA observed doctor's order for R1's Ferrous Sulfate was 325mg and take one tablet daily or as needed. However, the bottle of Ferrous Sulfate that was administered to R1 was Ferrous Sulfate 143mg. LPA will return at a later time to complete annual inspection. 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.