Routine inspection·June 20, 2024

On 06/20/2024, Licensing Program Analyst (LPA) Jaynae Boyles, arrived at the facility unannounced to conduct a 1-Year Required Annual Inspection. LPA met with Facility Administrator , Chad Young, and explained the purpose of the visit. LPA Boyles and Administrator toured facility together to ensure health and safety of residents in care. LPA observed the facility to be clean, in good repair and odor-free. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA observed two residents who are using oxygen and did not have the proper signage posted on the outside of the residents room. Areas toured include but are not limited to: common areas, resident bedrooms, shower rooms and common restrooms. LPA observed all resident bedrooms to have all the required furnishings, proper lighting and windows with screens. LPA observed each bathroom to have the necessary grab bars, non-skid flooring or shower chair, paper towels, and trash can with lid. LPA observed the temperature in the building to be appropriate for the weather. LPA observed the kitchen to be clean and organized. Facility has a 2-day perishable and a 7-day non-perishable amount of food and sharps to be locked. Hot water temperature was measured at 113 degrees F. LPA observed four (4) fire extinguishers, fire detectors, and carbon monoxide detectors. LPA observed the emergency disaster plan to be complete but not updated or reviewed since 2021. The facility was unable to provide documentation that the emergency disaster drills were conducted over the last 12 months. LPA observed the first aid kit was was complete and ready for emergency use. LPA reviewed a total of six (6) residents' files and five (5) staff files . The resident files did not contain doctors orders in the files for the residents who have half bed rails. Four of the resident files reviewed had half bed rails and no order from a doctor in the file. The employee files contained all of the required documentation. Deficiencies cited from Title 22 Regulations and or the California Health and Safety Code. Several topics were discussed. An exit interview was conducted, and Plans of Corrections were reviewed and developed collaboratively. A copy of this report, LIC 809-D, and Appeal Rights were discussed and provided.