Routine inspection·January 7, 2025

On 1/7/24 Licensing Program Analyst (LPA) M. Garza arrived unannounced for an annual inspection visit. LPA was met by Executive Director, Beronica Galindo. LPA introduced self, explained reason for visit and was permitted entry into the facility. 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 10 residents 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 operate on a system. Fire extinguisher last serviced 09/12/24. Last fire drill conducted on 12/17/24. Resident rooms observed to have the required furnishings and with adequate lighting. Linen supplies are kept in linen closets. Sharps and chemicals were located in locked closets/rooms. LPA observed sufficient seating under covered patio areas. The following issues were observed during todays visit: personal rights, additional personal right, non-discrimination and complaint information not posted. Room #407 observed with sagging mattress in need of replacement. Carpet in Apple kitchenette torn at transition observed in need of repair. Apple kitchenette cabinet handle broken and in need of repair. Room #310 toilet in need of cleaning. Chemicals observed in resident room #210 unlocked and accessible. Sidewalk in courtyard in need of debris removal. Hand railing in Garden wing in need of cleaning. Refrigerator/freezer in Garden wing in need of cleaning/repair. Spider webs observed throughout the facility in need of removal. Touch up paint needed in hallways in Garden wing. Seaside kitchenette flooring sticky and in need of cleaning. Wall in room #428 in need of patching/touch up. CONT... CONT... LPA requested the following documents to be submitted to CCL by 1/17/25 : 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 Executive Director, Beronica. A copy of this report, deficiencies and appeal rights provided.