Routine inspection·December 27, 2022

Licensing Program Analysts (LPA) Ashley Calderon conducted an unannounced Annual - 1 Year Required visit to this facility. Upon arrival, LPA met with Assistant Administrator / Dennise Alonso and later with Administrator Betsy Davis who assisted with the visit. During today's visit, LPA used the infection control tool to evaluate the facility. The facility has a hospice waiver for two (2) and currently has no residents on hospice. LPA and Davis toured the entire physical plant of the facility, the facility is a two-story building. Areas toured: the front lobby, dining area, activity spaces / common lounge areas, medication room, storage/ disaster rooms, resident common restrooms, laundry room, outside gardens, five (5) residents bedrooms and kitchen area. LPA observed that the facility does not have a swimming pool or other large body of water, small fountains were observed and were secured and fenced. All indoor and outdoor passageways were free of obstruction. There is only one entrance being utilized at the facility, all required posters were posted at the entrance. Screening area is located and hand sanitizers are placed throughout the facility. All staff were observed to be wearing mask during this visit and facility had enough PPE supplies. LPA toured randomly selected resident rooms. Rooms 108, 118 were inspected on the first floor, rooms 222, 240 and 244 were inspected on the second floor. All bedrooms were furnished with required furniture. The resident's bathrooms were observed to be clean, operational and equipped with grab bars and non-skid mats. Common resident restrooms were observed. One common restroom on the second floor was observed having a disinfectant bottle accessible to resident's, a deficiency was observed and cited on LIC809D . The hot water temperature was tested and measured within Title 22 Regulations guidelines, all were in measured between 110.5 - 118.9 Fahrenheit. Smoke detectors are present throughout the facility and in resident bedrooms. Fire extinguishers are fully charged and present throughout the facility, oxygen monoxides are operable, and fire alarms are wired to the Glendale Fire Department. Continuation 809-C... The kitchen was inspected. LPA observed all kitchen equipment to be clean and in working condition. LPA observed sufficient supply of perishable and non-perishable foods, food menu was posted and no foods were expired. Common areas were observed clean and properly furnished. LPA observed the centrally stored medication area to be locked and inaccessible to residents. The first aid kit was observed and found to be in compliance with the Title 22 Regulations. Deficiencies were noted during this visit on LIC 809D per Title 22 Regulations. A copy of the report was provided to the administrator and appeal rights were given.