Routine inspection·November 5, 2024

At approximately 8:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct a Required-1 Year inspection. LPA met with Executive Director Roger Endert and explained the purpose of the visit. Administrator certificate is current. LPA toured the facility to ensure the health and safety of residents in care. Areas toured include but are not limited to resident rooms, common areas, bathrooms, kitchen, storage areas and back yard. In the areas toured no immediate health, safety, or personal rights violations were observed. The common areas, bathrooms and kitchen were clean and in good repair. All bedrooms had required furniture, bedding, and lighting. Cooking/dining equipment and utensils were present. Food appears to be stored and prepared properly. Facility has required seven-day non-perishable and two day perishable supply of food. Medication is locked and not accessible. The facility was observed to be at a comfortable temperature. First aid kits were present. Fire extinguishers were fully charged. Smoke detectors are all operational. Fire sprinklers were located throughout. Carbon Monoxide Detector was present. All employees requiring background checks are cleared. No pools/bodies of water are on the premises. Facility has been conducting emergency drills every month. At approximately 9:45AM, LPA reviewed 10 Staff and 10 resident files. All resident files contained the required documentation. 7 of 10 staff files reviewed did not contain evidence of completed annual training. There was at least one person present with current First Aid/CPR certification. During this inspection, LPA followed up on an incident report submitted to CCL on 10/30/2024. The incident was reporting two medication errors that occurred on 10/24/2024 and 10/25/2024. Staff misread the orders for both of these incidents. An investigation was conducted by the Health and Wellness Director and staff were retrained. This is a repeat violation in a 12 month period. An immediate civil penalty is being issued in the amount of $1000. 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 Executive Director and Appeal rights were given.