Routine inspection·April 11, 2024

On 04/11/2024, Licensing Program Analyst (LPA) Jaynae Boyles, arrived at the facility unannounced to conduct a 1-Year Required Annual Inspection. LPA met with a Bored Member Geoffrey Giesbrecht, and explained the purpose of the visit. LPA Boyles and Facility Board Member toured facility together to ensure health and safety of residents in care. LPA observed the facility to be clean, in good repair and odor-free. Areas toured include but are not limited to: common areas, resident bedrooms, backyard and common restrooms. LPA observed each bathroom to have the necessary grab bars, non-skid flooring or shower chair, paper towels, trash can with lids and 20-second hand-washing poster. LPA observed each bedroom to have the required furnishings, windows with screens and working lights. LPA observed a plethora of activities for the residents. Facility has a 2-day perishable and a 7-day non-perishable amount of food. Hot water temperature was measured at 118 F. LPA observed two (2) fire extinguishers, fire detectors, and carbon monoxide detectors. LPA observed the first aid kit to be complete and ready for emergency use. LPA observed chemicals to be unlocked and accessible to residents in care in two locations: Kitchen under the sink and the laundry room cabinet. LPA observed medications to be locked and inaccessible to residents in care. LPA observed a completed emergency disaster plan but no documentation that emergency drills occurred within the last 12 months. LPA observed a resident to have half bed rails with no orders from a doctor for the utilization of the bed rails. LPA reviewed a total of five (5) residents' files and three (3) staff files which contained all of the required documentation. Several topics were discussed. Deficiencies cited from Title 22 Regulations and or the California Health and Safety Code. An exit interview was conducted, and Plans of Corrections were reviewed and developed collaboratively. A copy of this report, LIC 809-D, and Appeal Rights were discussed and provided.