Routine inspection·May 31, 2024

On 5/31/2024 at 8:30 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Anabelle Galera and explained the purpose of the visit. The facility’s fire clearance was approved for 6 Non-Ambulatory of which 2 may be bedridden. LPA toured facility with Administrator including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 8 total bedrooms which 5 bedrooms are occupied by the residents and 2 bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 74 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in rooms 6 & 4 was measured at 106.3 & 107.3 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medication and sharps were not locked and inaccessible to residents. Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 10/03/2023. Emergency Disaster Plan was last posted on 5/31/2024. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 4/30/2024. At 9:00 AM, LPA reviewed 5 of 5 residents records. At 9:30 AM LPA reviewed 4 staff records and 4 of 4 have current first aid training and are associated to the facility. At 10:45AM, LPA reviewed a sample of resident’s medications. Report continues on LIC809-C THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: At 10:11am during tour LPA observed unlocked scissors in the kitchen cabinet. Robitussin, Gabapentin, Guaifenesin, and NyQuil were obserbed unsecured in refrigerator on right door shelf. Under kitchen sink was also unlocked with a variety of Knives, sharps, and cleaning supplies available. Staff locked away all items that posed a risk. Updated copies of the following document were requested for facility file and are to be submitted to CCL by 6/21/2024: LIC 500 Personnel Report The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted. Appeal Rights and a copy of this report provided.