Routine inspection·May 16, 2024

THIS IS A CONTINUATION OF THE REQUIRED 1 YEAR ANNUAL COMMENCED ON 5/15/24 On 5/16/24 Licensing Program Analyst Maja Jensen arrived at facility unannounced to continue a required 1 year annual inspection. LPA Jensen met with Executive Director Mary McClure and explained the purpose of today's visit. On 5/15/24 LPA Jensen toured the grounds and physical plant. All paths on the grounds were observed to be free of obstruction. There are shaded areas and patio furniture for the residents to enjoy outdoor activities. There are no bodies of water on the property. LPA Jensen observed a broken hand rail on an exterior patio that was marked with caution tape. LPA Jensen confirmed with the Maintenance Director and the Executive Director that the rail has been broken for approximately one week and repairs are currently in process. LPA Jensen also reviewed documentation confirming a contractor is scheduled for repairs as of 5/17/24. LPA Jensen toured the physical plant. The facility was observed to have adequate furnishings and lighting. There are night lights available in the hallways. The facility maintains an adequate supply of linens. All medications and toxins are inaccessible to residents in care. The first aid supplies were observed to be complete. There is an evacuation chair located in the stairwell. The elevator in the main hall was determined to be in working order. The fire extinguishers were last serviced in January of 2024 and are in compliance. The carbon monoxide detectors were tested and in good working order. The facility is equipped with an interior fire sprinkler system. LPA Jensen toured the kitchen. A two day supply of perishable food was observed and a 7 day supply of non-perishable food was observed. On 6/16/24 the lunch menu consisted of Grilled Ruben on Rye with beet salad and jello. Various snacks, desserts and fresh fruits were also available. The menu is posted in a variety of places and a menu is also printed for the individual rooms. LPA Jensen toured the memory care section of the building while accompanied by staff 1 (S1).The facility has two designated sections for memory care. LPA Jensen pointed out to S1 that 1 of 2 memory care sections has a distinct smell and is not being kept free of incontinence odor. LPA Jensen interviewed 2 staff members that state the incontinence odor in the memory care section have been an ongoing issue. LPA Jensen interviewed the Executive Director who confirmed that the carpet in the memory care unit is scheduled to be replaced. LPA Jensen reviewed and obtained a copy of the invoice for carpet replacement in this section of the building. All required postings were placed in easily viewable locations. LPA Jensen requested and received updated copies of the LIC 500, LIC 308 and liability insurance. LPA Jensen reviewed 5 staff files and determined them to be compliant. LPA Jensen reviewed 10 resident files and determined them to be well organized, current and compliant. The inspection tool was used during the course of this annual inspection. Deficiencies are being cited pursuant to the California Code of Regulations (CCR), Title 22, Division 6. Failure to correct deficiencies may result in the assessment of civil penalties. An exit interview was conducted and a copy of this report and appeal rights were provided.