Routine inspection·July 31, 2023

*This is an amended report from visit 7/31/2023.* On 07/31/2023 at 12:10 PM, Licensing Program Analysts (LPAs) L. Alexander and L. Fontanilla arrived unannounced to conduct 1-Year Annual Required inspection. LPAs met with Health Services Director, Maria Collado and Care Director, Yelba Havelhorst and explained the purpose of the visit. The General Manager, Linda Fisher, was not available but arrive shortly there after. The facility’s fire clearance was approved for 90 Non-Ambulatory, of which 5 may be Bedridden. Hospice Care Waiver granted for 13 residents. LPAs toured the facility with Yelba including but not limited to 8 residents’ apartments, bathrooms, multiple activity rooms, kitchen, common area and courtyard. There are no bodies of water observed. LPAs observed lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 72 degrees F in assisted living and 76 degrees in memory care. The hot water temperatures in a sample of residents’ shared bathroom were measured at 118.1, 115.8, 116 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. At 1 PM, LPA reviewed 5 residents and 5 staff records. The following deficiencies were observed: At 1:45 PM LPAs observed missing non-skid mats in residents' shower located in assisted living and memory care. At 1:49 PM LPAs observed "Goof Off" Disinfectant Spray unlocked cabinet located in Laundry Room downstairs. LIC 809-C Continued.... LIC 809 Continued... At 1:51 PM LPAs observed 2 bottles of Anti-bacterial All Purpose Cleaner unlocked under kitchen cabinet in Memory Care (Aggie). At 1:55 PM LPAs observed vitamins and Extra Strength Tylenol in residents' rooms in assisted living At 1 PM, LPAs observed during record review 1 of 5 staff missing First Aid certification. 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.