Routine inspection·February 20, 2025

02/20/2025 09:00 AM Licensing Program Analysts (LPAs) Rebecca Knight and Kayla Adkison arrived at the facility unannounced to conduct a Required-1 Year inspection. LPAs met with administrator Stacey Baxter and administrator in training Jessica Owen and explained the purpose of the visit. LPAs and staff toured the facility together to ensure the health and safety of residents in care. Areas toured include but are not limited to resident rooms, common areas, bathrooms, kitchen, storage areas and facility grounds. Staff and resident files were reviewed. All employees requiring background checks are cleared. Medications were reviewed. There is a schedule of recreational activities planned for the residents. Bedding, linens, and towels for residents were observed and found to be clean and in good repair. There is an adequate supply of toiletries for the residents. Medication is locked in the medication room. The facility was observed to be at a comfortable temperature. Hot water measured between 105 – 120 degrees F. Common area was clean and in good repair. All bedrooms had required furniture, bedding, and lighting. Bathrooms were clean and in good repair. Kitchen was clean and in good repair. The facility has a second building that contains 3 resident rooms but is not occupied presently. Food appears to be stored and prepared properly. Facility has required (7) seven-day non-perishable and (2) day perishable supply of food. Fire extinguishers fully charged and inspected. Smoke detectors are all operational and are inspected annually by fire marshall and monitored by Foothill Fire Protection continually. There are no pools/bodies of water are on premises. Disaster drills are conducted every six months, the facility has been conducting fire drills every 3 months. LPAs observed the following deficiencies: During records review LPAs determined that 2 of 6 staff files did not contain First aid certificates. LPAs observed the following during the tour of the facility: Lower activities room common bathroom sink not draining. Room 9 shower floor soiled. Room 26 bathroom light fixture missing glass cover. Room 26 bathroom fan dirty. Discarded items need to be removed from west side entrance to include motorized wheelchair and mattress. Sun room currently has discarded rental equipment (beds, oxygen cannisters, wheelchairs, walkers) that need to be picked up by rental company. Two window screens need to be re-installed on exterior windows on South side of the building. Weeds need to be removed from gutters over entrance to activity room. Discarded metal table needs to be removed from backyard. Discarded heavy metal doors need to be removed from east side activity area. Deficiencies are being cited as a result of today’s inspection and are included on the attached LIC809-D forms. California Code of Regulations, (Title 22), is being cited on the attached LIC809D. Appeal rights were provided. Exit interview was conducted and the report was provided to administrator Stacey Baxter.