Routine inspection·March 30, 2023

On 03/30/2023 at 9:00 AM, Licensing Program Analyst (LPA) J. Sampair conducted a required annual inspection. Upon entry, LPA explained the purpose of the visit to staff member S1. At 9:20 AM, Co-Administrator Alberto Bernardino (Administrator Certificate #6005406740 expiration 10/26/2023). LPA inspected the facility inside and outside. The facility's fire clearance was approved for 6 non-ambulatory residents , one of which may be bedridden in Room 101,102, or 105. There were no bodies of water present at the facility. Inside and outside pathways were free of obstruction and fire hazards. There were six (6) residents at the facility during inspection. All residents were observed to be well groomed and clean. The facility has a written Emergency/Disaster plan updated during visit 03/30/2023, which was posted on a bulletin board near the front entrance. Centrally stored medications were locked in a closet next to the main front entrance. Sharp objects were locked in the kitchen drawer next to the sink. Toxic chemicals were locked in a cabinet inside the garage. There was at least 7 days of nonperishable and 2 days of perishable foods. Facility room temperature was maintained at 74 degrees Fahrenheit. Cited for hot water temperature of 123 degrees Fahrenheit in the kitchen, which was reduced to 110 degrees at 4:40 PM. Resident's bathrooms have grab bars inside the shower and next to the shower. The shower has a non-skid mat.The facility has trained staff in Dementia Care, Medication, and Basic Training. Fire extinguishers were fully charged and last inspected on 08/22/2022. Staff records were reviewed on 03/30/2023 at 04:05 PM. The facility staff all had criminal record clearances to work and are associated to the facility. Resident records all contain Admission Agreements, medical assessments, needs and service plan/appraisals. The facility serves residents with Dementia. The facility has potentially dangerous objects locked and inaccessible to residents in care. The facility has auditory signals on each sliding door in the resident's room. Staff at the facility has the required Dementia training. Continued on next page LIC 809-C . . . . . . Continued from page LIC 809 Facility cited for 1 A, 2 B, and 2 Technical Violations from the California Code of Regulations of Title 22 (see LIC 809-D). Failure to correct these deficiencies and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and appeal rights provided to Administrator via email.