Routine inspection·March 20, 2024

On 3/20/2024 at 1:45PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Administrators, Sarvjeet Dhillon and Sharan Kaur. 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 8/14/2023. One week of nonperishable and 2-day of perishable food supplies were available. Hot water temperature was measured at 105.3 degrees F in the hallway bathroom. LPA observed grab bars and non-skid mat in the bathrooms. There were adequate lights in each room. Resident rooms were observed to be cleaned and fully furnished. First Aid kit is complete. LPA reviewed 3 residents and 3 staff files starting at 2:50PM. LPA reviewed a sample of resident's medications. LPA interviewed 2 residents and 2 staff at around 5:30PM. At 3:20PM, LPA observed R1's physician's report dated 3/30/2022 stated that R1 has dementia and R1 is occupying room 1 which is ambulatory only. At 3:30PM, LPA observed R1 and R2 does not have current medical assessments on file. At 4:00PM, LPA was informed that two residents does not have doctor's orders for half bed rails. (Continue on LIC809C...) At 5:15PM, LPA observed R1's inhaler with doctor's order of 2 puffs by mouth 2 times a day. However, LPA observed R1's MAR states R1's inhaler was given 1 puff by mouth 2 times a day. 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.