Routine inspection·October 2, 2023

On 10/02/23, Licensing Program Analyst (LPA) M. Yang arrived at the facility unannounced to conduct the Required Annual Inspection. LPA were greeted by receptionist, stated the purpose of the visit and met with Administrator (A1) Linda Pope. LPA conducted tour of facility with A1 and Health Service Coordinator Stacie Pantoja. Residents were observed seating in dining area and activity room. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards. Fire extinguisher was observed with a service date of: 06/27/23. Kitchen was toured. An adequate supply of perishable and non-perishable food was observed to be properly stored in walk-in freezer and walk-in refrigerator. Refrigerator temperature was observed checked at 06:00AM maintained at 34 degree F. and freezer was observed maintained at -10 degree F. Medications were stored in a locked medication room in a medication cart. MARs and medications were reviewed.Residents' rooms were toured and observed with adequately furnished with bed, dresser, and adequate lighting. LPA observed securely fastened grab bars and non-skid mat in all tub/shower areas. LPA toured in 1 st floor: a sample of resident bedrooms, activity room, club room, dining room and fitness center. 2 nd floor toured: a sample of resident bedrooms, library, and den. 3 rd floor toured: a sample of resident bedrooms, den, lounge. A sample of staff files were reviewed to have the required documents. A sample of resident’s files were reviewed to have all the required documents. A deficiency is being cited on the attached Lic 809D in accordance to California Code of Regulations, Title 22, Division 6. An exit interview was conducted. LPA received copy of Lic 308, Lic 500, Lic 610E, Administrator certificate, current liability insurance. A copy of this report and appeal rights was provided to the Administrator, whose signature on this form confirm receipt of these reports.