Routine inspection·December 7, 2024

On 12/7/24 Licensing Program Analysts (LPAs) M. Garza and L. Salazar arrived unannounced for an annual inspection visit. LPAs met with Medical Technician, Sumanpreet Kaur, introduced selves, explained reason for visit and were permitted entry into the facility. Administrator, Aman Bains was contacted and stated they were unavailable. LPAs were given permission to start tour. Administrator arrived some time later. LPAs completed a health and safety check on residents in care. LPAs toured the facility. Residents observed in common areas and in rooms. Pathways and doors were clear and free from obstruction. Facility was clean and without odor. Common areas were adequately furnished, and adequately lit. Smoke detectors and fires alarms are on a system and last serviced 11/24/24. Carbon monoxide detector was present and operational at time of visit. Fire extinguisher last serviced 11/14/2024. Last fire drill on 9/27/24. Resident rooms observed to be odor free, clean and with adequate lighting. Linen supplies are kept in linen closets at end of hallways. Sharps, chemicals and medications were located in locked closet. LPA observed sufficient seating under covered patio area on bottom floor. The following issues were observed during todays visit: Water temperature measured 130.2 degrees F (Rm 511) and 127.9 degrees F (Rm 425) without warning signs. Facility in need of repair in the elevator doorways, hallway walls, ceiling tiles outside of elevator and in hallways, paint in need of touch up on hallway walls and on doors to resident rooms. All resident beds were observed to be hospital beds. Hallway floors throughout the facility are in need of repair/replacement. Elevator making noise and in need of service. LPA requested the following documents to be submitted to CCL by 12/13/2024: 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. Exit interview completed with Administrator, Aman. A copy of this report, deficiencies, TV's and appeal rights provided.