Routine inspection·September 4, 2024

On 09/04/2024 at 9:20 AM, Licensing Program Analysts (LPAs) A. Gomez and P Manalo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Licensee, Yanlin "Cynthia" Huang and explained the purpose of the visit. The facility’s fire clearance was approved for 6 non-ambulatory of which one may be bedridden in room 6. LPA toured facility with Licensee including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. 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 the residents’ shared bathroom was measured at 103.5 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is not 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 not inspected and did not have a receipt of purchase. Emergency Disaster Plan was last posted on 9/04/2024. First aid kit was observed to be complete. Emergency disaster drills were not available. LPA reviewed 6 residents records. LPAs reviewed 3 staff records. LPA reviewed a sample of resident’s medications. Report Continues on LIC809-C THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: Upon arrival LPAs were greeted by a "caregiver" who was later identified as David Last name Unknown. The individual vacated the property without the LPA's knowledge. Licensee informed LPAs that the individual is not eligible to be cleared. Licensee states that they have no other information for the individual. At 9:29AM LPAs observed unlocked vitamins and over the counter medications available in Licensee's room with the door open and the Licensee in the shower. At 9:30AM LPAs observed a black butcher knife unsupervised on a red cutting board. At 9:30AM LPAs observed unsupervised resident medications on the kitchen counter At 9:31AM LPAs observed the sliding screen door to be ripped and in disrepair. Later LPAs observed screen on residents window with a large rip on the upper right corner that appeared to have been previously taped up At 9:36AM LPAs observed medication closet unlocked and accessible At 11:20AM LPAs saw on camera footage that S2 sleeps at night in the common area on the sofa next to the front door. At 12:00PM LPAs observed R1's, R2's physician report is expired At 12:10 PM LPAs observed the water temperature at 103.5. At 12:24PM LPA's observed R4, R5, and R6 to have incomplete files At 1:12 PM LPA's observed that S2 and S3 was not updated on training's. Staff files were also incomplete. At 1:12 PM LPA's observed that S3 does not have a first aid on file. At 2:30PM LPAs observed that the facility did not have enough food. Throughout visit LPAs observed that the facility did not have stimulating activities available to residents *** A civil penalty is being assessed in the amount of $500*** The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code 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.