Routine inspection·September 10, 2024

On 09/10/2024, Licensing Program Analyst (LPA) Jaynae Boyles, arrived at the facility unannounced to conduct a 1-Year Required Annual Inspection. LPA met with Facility Assistant Administrator, Michael Foz 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, shed, and common restrooms. LPA observed the resident bedrooms to have all the required furnishings, working lights/fans with windows with screens. All resident bathrooms observed to be in working order and have the required supplies. LPA observed the resident showers to have bathroom the necessary grab bars, non-skid flooring or shower chair, paper towels, trash can with lids and 20-second hand-washing poster. Hot water was measured throughout the facility, the temperature was above the required temperature (122 F) on one side of the building and below the required temperature(101 F) on the other side of the building. The thermostat was within range in the facility but inconsistent throughout the facility, some rooms and halls were warmer on one side. Facility has a 2-day perishable and a 7-day non-perishable amount of food. LPA observed medications sharps to be locked inaccessible to residents. LPA observed posted weekly menu and activities for the residents. LPA observed a plethora of supplies for the residents to use. LPA observed fire extinguishers, fire detectors, and carbon monoxide detectors. LPA observed a complete first aid kit ready for emergency use. LPA observed a completed emergency disaster plan, and the required emergency disaster drills conducted within the last 12 months. 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 reviewed a total of five (5) residents' files and five (5 ) staff files. Two of the five resident files reviewed had outdated physician reports for residents who have dementia. Employee files contained all of the required documentation. The following deficiencies were cited per Title 22 of the California Code of Regulation (See LIC 809D). Appeal Rights were explained and provided to the facility representative listed above Exit interview conducted.