Routine inspection·December 5, 2023

At approximately 11:30AM, Licensing Program Analyst (LPA) Chris Arnhold made an unannounced annual required inspection of this licensed senior care facility. LPA met with Assistant Manager Katelyn Formby. At approximately 11:45AM, LPA toured the building and grounds which was found to be clean and in good repair. LPA observed all walkways and exits to be unobstructed. All notices that are required to be posted have been posted and are in a highly visible area. LPA observed activity supplies for resident use. The amount of fresh and nonperishable foods is within regulation. Facility kitchen, refrigerators and freezers were clean, and food was stored properly. Toxins are stored in storage closets throughout the building. LPA observed the cupboard under the sink in memory care was unsecured. Water temperature measured between 96 and 125 degrees. Fire extinguishers inspected were charged. Smoke detectors were found to be in working order. Facility has fire sprinklers throughout. Carbon Monoxide detectors were present. There was enough lighting in all common areas, resident rooms, and hallways. Medication is centrally stored and secure. At approximately 12:45PM, LPA reviewed 5 of 32 resident records. Records contained current physician reports and care plans. 5 of 5 records contained current and signed admission agreements. Medication records are thorough and contained physician's orders for each resident. At approximately 2:00PM, LPA reviewed 6 staff records. 6 of 6 records did not contain documentation of completed training records as required. LPA interviewed 2 staff during this inspection. Continued on LIC809-C... At approximately 3:30PM, LPA reviewed the facility emergency disaster plan with staff. Facility has a generator to supply power during an outage. The plan outlines evacuation routes, which are shown on facility sketch and has alternative meeting locations. Facility has supplies enough to operate for more than 72 hours in an emergency. Facility conducts emergency drills monthly. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report Evidence of Liability Insurance Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. This report was reviewed with Katelyn Formby and Appeal rig hts were given.