Routine inspection·August 26, 2024

On 8/26/24, at 10:50am, Licensing Program Analyst (LPA) Arvin Villanueva arrived to the facility unannounced to conduct an annual required visit. LPA met with Karly Sturgeon, Administrator (ADM), and explained the purpose of the visit. During this visit, present were 26 residents in care, in Assisted Living (AL) and Memory Care (MC) and 10 total staff on duty. The facility, a single-story building with a capacity for up to 49 residents, is situated in a residential neighborhood. LPA and ADM conducted a physical inspection of the facility to ensure compliance with Title 22 regulations. During the inspection, LPA examined 2 AL and 2 MC resident bedrooms. Each room was furnished with essential items: a bed, chair, lamp, dresser, and closet space. Emergency exits were unobstructed. Resident bathrooms were found to be clean and well-equipped. Medications, sharps, and cleaning supplies were securely locked away from residents. Common areas were tidy and free from obstructions. Fences and gates were in good repair, with delayed egress and secure gates in the MC area. There were no fireplaces or bodies of water present. The hot water temperature in one resident's bedroom was recorded at 115°F, and the room temperature was 68°F. Carbon monoxide and smoke detectors, pull alarms, and a sprinkler system were all present and functioning. The kitchen was inspected, and food supplies were appropriately stored. The facility maintains a 2-day supply of perishable and a 7-day supply of nonperishable food. With 3 freezers and 2 refrigerators, all were found to be operating within regulatory temperature ranges. Currently, no residents are using oxygen. LPA reviewed 5 staff files, all of which were in compliance. Among 6 resident files reviewed, it was noted that 2 residents had become bedridden. The facility do not have evidence of fire clearance documentation for bedridden residents during this visit. Through interview and record review, facility has notified local fire department when these residents became bedridden status. Medication records for 2 of the 6 residents were found to be compliant. The facility conducts quarterly fire drills as part of its disaster procedure. {1 of 2} {2 of 2} LPA requested a copy of the following documents to be emailed by end of day on 8/27/24: updated LIC500, LIC308 and current Liability Insurance Certificate. Per California Code of Regulations (CCR) - Title 22, Division 6, Chapter 8, deficiencies were observed. An immediate civil penalty is being assessed during today's visit. Note that failure to correct deficiencies will result in additional civil penalties. An exit interview was held, and a copy of the report and appeal rights were provided