Routine inspection·September 4, 2024

On 9/4/24 Licensing Program Analyst (LPA) M. Garza arrived unannounced for an annual inspection visit. LPA was met by Care Giver, Josephine Jo and Care Giver, Ryan Figueroe . LPA introduced self, explained reason for visit and was permitted entry into the facility. Administrator, Phoeun Marez was contacted and arrived some time later. LPA completed a health and safety check on residents in care. LPA toured the facility inside and out. Residents observed in common areas and in rooms. There was 1 resident on hospice at the time of the inspection. Pathways and doors were clear and free from obstruction. Facility was clean and without odor. Common areas were clean, adequately furnished, and adequately lit. Smoke detectors and carbon monoxide detectors were present and operational at time of visit. Fire extinguisher last serviced 2/5/24. Last fire drill on 7/1/24. Water temperature measured at 109 degrees F in restroom #1 and 110 degrees F in restroom #2 and kitchen. Resident rooms observed to have the required furnishings and with adequate lighting. Linen supplies are kept in linen closets. Sharps, chemicals located in locked closets/rooms. LPA observed sufficient seating under covered patio areas. The following issues were observed during time of visit. Chemicals observed unlocked in restroom #1 drawer. Medications observed in lock box unlocked and accessible to residents in care. LPA requested the following documents to be submitted to CCL by 9/13/24: current copy of Administrator’s Certificate, Administrator Organization (LIC 309), Designation of Administrative Responsibility (LIC 308), Emergency Disaster Plan (LIC 610-E), Personnel Report (LIC 500), Register of Facility Clients/Residents (LIC 9020) in order to update the facility file. Deficiencies cited on 809D. Exit interview completed with Administrator, Phoeun Marez . A copy of this report, deficiencies and appeal rights were provided.