Routine inspection·January 25, 2024

On this day, January 25, 2024, at 2:35 p.m, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA met with Elton Brown, administrator, and Ester Ramirez, staff. and informed the reason for visit. Facility has Infection Control Plan that was submitted and received by LPA on 1/23/24. LPA toured the facility inside out with the administrator. LPA inspected the kitchen, dining area, living room, bedrooms, bathrooms, front and backyards. Food supplies were observed good for 2 days of perishables and 7 days of non-perishables. Central storage for medications was observed locked. Facility has 2 in 1 smoke and carbon monoxide detectors that were tested, and observed functional. Hot water temperature in one of the bathrooms was tested. LPA reviewed 2 staff files and interviewed 2 staff. ...continued on 809C LPA observed the following: -at 3:02 p.m, bleach, extra strength dishwashing liquid and Fabuloso multi-purpose cleaner in unlocked kitchen cabinet under the sink. -at 3:05 p.m., knives and peelers in kitchen cabinet without lock. -at 3:11 p.m., hot water temperature at 121 degrees Fahrenheit. -at 3:22 p.m., rubbing alcohol and athlete's foot ointment in one of the resident rooms. -at 4:00 p.m., no disaster drill records. According to the administrator they conducted drills 2x since facility was licensed but didn't keep record. -at 5:00 p.m. to 5:20 pm., staff (S1 and S3) have no LIC501 Personnel Record, LIC503 Health Screening & TB test records on file -at 5:20 p.m., S3 who according to administrator started working 1/02/24 and have been working independently with residents, have not completed the required initial 20 hrs of training. S3 has only have 3,5 hours dementia training. -at 5:15 p.m, S2 has no LIC503 on file. Administrator to submit the following updated/current documents by February 8, 2024: 1. LIC308 Designation of Facility Responsibility 2. LIC500 Personnel Report 3. LIC610E Emergency Disaster Plan (9 pages) 4. $3M Liability Insurance certificate Deficiencies are cited from Title 22 California Code of Regulations, and listed on 809Ds. Failure to submit proof of corrections by plan of correction due dates, and any repeat violation within 12 month period may result in civil penalties. Deficiencies and plan and proof of corrections were discussed with the administrator. Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided.