Routine inspection·June 5, 2024

On 06/05/2024 at 1:25 PM, Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Executive Director, Elizabeth Cortes and Marketer, Lynette Sandoval explained the purpose of the visit. The facility’s fire clearance was approved for capacity 72 in which all non-ambulatory, of which may be bedridden and a hospice waiver of fifteen (15) residents. Administrator Certificate # #6017472740 expires 06/04/2024. LPA toured the facility with Lynette including but not limited to 2 residents’ apartments, bathrooms, multiple activity rooms, kitchen, common area and courtyard. There are no bodies of water observed. LPA observe lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 63 degrees F. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in a sample of residents’ shared bathroom were measured at 128.5, 120.0, 122.0 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps and toxic are locked and inaccessible to residents in care. LPA reviewed 10 residents records. LPA reviewed 10 staff records and 9 of 12 have current first aid training and associated to the facility. LIC809-Continued... LIC809-C Continued... Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 06/12/2024: LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance