Routine inspection·November 28, 2023

On 11/28/2023, Licensing Program Analyst (LPA) Jaynae Boyles, arrived at the facility unannounced to conduct a 1-Year Required Annual Inspection. LPA met with Facility Administrator, Melissa Morales and explained the purpose of the visit. LPA Boyles and Administrator toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, backyard, and common restrooms. LPA observed the facility to be clean, in good repair and odor-free and each bathroom to have the necessary grab bars, non-skid flooring or shower chair. Hot water temperature was measured within the required range. Facility has a 2-day perishable and a 7-day non-perishable amount of food. Facility offered a variety of menu options for the residents, and has a two part process to verify residents have attended meal time or received meal service in their room. LPA observed an activity calendar with a variety of activities available to the residents. LPA observed an activity room which had supplies for painting, puzzles and games. LPA observed several fire extinguishers, fire detectors, and carbon monoxide detectors. In the areas toured no immediate health, safety, or personal rights violations were observed. First aid is complete and ready for use. Administrator was unable to provide documentation of quarterly emergency disaster drills. LPA reviewed a total of five (5) residents' files and five (5) staff files. One staff file missing a criminal clearance. One resident who is diagnosed with dementia is missing an updated medical assessment within the last 12 months. Several topics were discussed. California Code of Regulations, (Title 22), is being cited on the attached LIC809D. A civil penalty for $100 per day for a maximum of 5 days, totaling $500 for criminal record clearance violation is being assessed on the attached LIC 421BG. An exit interview was conducted, and Plans of Corrections were reviewed and developed with the Administrator. A copy of this report, LIC 809-D, LIC421BG, and Appeal Rights were discussed and provided to Administrator.