Routine inspection·August 7, 2024

On 8/7/2024 at 10:30AM, Licensing Program Analysts (LPAs) G. Luk and L. Alexander arrived unannounced to conduct a Required - 1 Year inspection. LPAs met with Executive Director, Joseph Villanueva and explained the purpose of the visit. LPAs toured the facility including but not limited to bedrooms, bathrooms, kitchen, dining area, activity rooms, common areas, and outdoor area. Centrally stored medications were locked in different carts located in the med room. First Aid kit is complete. The facility has a written emergency disaster plan. Smoke detectors were interconnected with sprinkler system. Carbon monoxide detector was observed. Fire extinguishers were observed to be full and last serviced on 1/25/2024. One week supply of nonperishable and 2-day supply of perishable foods were available. Facility orders food supplies 1-2 times a week. Freezer’s temperature was registered at 0 degree F while the refrigerator’s temperature was recorded at 40 degrees F. Hot water temperature was measured at 120 degrees F in a resident's bathroom sink. Grab bars and non-skid mats were observed. There were adequate lights in each room. Indoor and outdoor passages were free of obstruction. LPAs reviewed 8 residents and 9 staff files starting at 12:10PM. At 1:30PM, LPAs observed R4, R6, and R8 does not have current medical assessment on file. At 1:40PM, LPAs observed R4 does not have TB test on file. At 2:00PM, LPAs observed S6 and S7 does not have current annual training completed. At 2:10PM, LPAs observed S6 does not have health screening and TB test on file. (Continue on LIC809C...) At 3:00PM, LPAs observed facility did not complete disaster drills every quarter. Last disaster drill was conducted on 3/5/24. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and Health & Safety Code. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights were provided.