Routine inspection·August 26, 2024

Licensing Program Analyst (LPA) Katie Brown arrived unannounced to conduct the Annual Inspection. LPA met with and explained the reason for the visit with Administrator (AD) Jennifer Vasquez. During this visit, LPA toured the facility inside & out. Resident apartments were clean and contained required furnishings and lighting. LPA observed required items in bathrooms with hot water measuring between 105 – 107 degrees in multiple rooms. LPA observed hygiene items, towels, extra bedding, and linens which were stored and available for use. The kitchen was observed to be clean, in good repair with necessary items and appliances. LPA observed required food supply and paper products. Common dining rooms were observed during meals. Residents enjoyed restaurant style dining service. Knives, cleaning/disinfecting supplies and chemicals were locked are stored separate from food. Medications are centrally stored and locked. A First aid kit contained required items. Facility has multiple visitation and common areas available. LPA walked the outdoor areas to find the grounds to be well kept with walkways, sitting areas and gardens. Doors and passageways are unobstructed throughout the facility including outdoors. An annual Fire system inspection was conducted by Jorgensen Fire Co. on 4/26/24. Fire Extinguishers were serviced and found to be charged. Carbon Monoxide detectors are placed in each apartment. LPA reviewed fire and Emergency Drill logs. LPA conducted resident and staff file reviews. Required postings were observed throughout the facility. Emergency Disaster and Infection Control Plans were reviewed during the inspection. Deficiencies are being cited in accordance with California Code of Regulations on the attached LIC 809-D in the areas of: Personnel Requirements, Storage Space and Incidental Medical and Dental Care Services. See LIC809C for continuation of this report. An exit interview was conducted and Plan of Correction (POC) developed. A signed copy of this report and Appeal Rights were provided. LPA requested the following updated forms faxed to CCLD by 9/26/24: Designation of Facility Responsibility (Lic308), Administrative Organization (Lic309), Emergency Disaster Plan LIC610E, Infection Control Plan (LIC9282 (6/23)) Personnel Report (LIC 500), Client Roster (LIC 9020), Proof of current Liability Coverage.