Routine inspection·June 18, 2024

On 06/18/2024 at 10:45 AM, Licensing Program Analysts (LPAs) L. Alexander and L. Holmes arrived unannounced to conduct 1-Year Annual Required inspection. LPAs met with Health Services Director, Davinderjit Singh and explained the purpose of the visit. General Manager (GM), Linda Fisher, arrived shortly after. The facility’s fire clearance was approved for capacity of non-ambulatory 90 (ninety) residents. In which 5 (five) may be bedridden. Hospice waiver approved for 13 (thirteen) residents. Administrator Certificate #6049700740 expires 09/27/2024. LPAs toured the facility with Maintenance and Housekeeping Director, Noel Samonte and Linda Fisher (GM) including but not limited to 6 (six) residents’ apartments, bathrooms, multiple activity rooms, kitchen, common area and courtyard. There are no bodies of water observed. LPAs observe lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 76, 75 and 71 degrees F. LPAs 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 112.7, 113.0, 115.2 and 114.5 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. LPAs reviewed 7 residents records. LPAs reviewed 6 staff records and 5 of 6 have current first aid training and associated to the facility. LIC809-C Continued... LIC809-C Continued... Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 06/25/2024: LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report Liability Insurance No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.