Routine inspection (multi-day)·July 5, 2023

On July 5, 2023, at 8:05 AM Licensing Program Analyst (LPA) David España conducted an unannounced Annual visit. LPA was met by Administrator, Bernice Pulanco, and the purpose of today’s visit was explained. Currently there are 56 residents, 8 are ambulatory and 48 are non-ambulatory. Linens LPA went inside all of the linen storage closets and found that they contained an ample supply of sheets, towels, mattress pads, blankets, comforters and pillows. Residents have the option to use and store their own linens. Each resident’s linens are changed weekly unless it is needed before that. Bathrooms All common restrooms were checked by the LPA, as well as 8 resident bathrooms. All common restrooms had stalls that are wide enough to accommodate walkers or wheelchairs. Each stall contains safety grab bars that are securely fastened. They had an ample supply of soap and paper towels. The water temperature in the common restrooms measured between 105-120 degrees Fahrenheit. Each shower was free of mildew or mold, had secured safety bars, nonskid mat and some had a shower chair. All bathrooms were fully stocked with resident’s toiletries and hand soap. Resident’s bathrooms are cleaned daily. Kitchen LPA and Bernice toured the industrial kitchen and dining room area. All appliances were in good, working condition. All food not stored in original container, were stored in a covered plastic container, and were labeled and dated. LPA observed a 4-day supply of perishable foods and a 7-day supply of non-perishable foods. LPA observed an ample supply of cutleries that were in good condition. Next to the pantry is a storage room where all the cleaning supplies are locked. All sharps are inaccessible to residents. Common Rooms LPA walked through all common spaces. All areas had infection control signs posted. There was ample seating available for residents. LPA observed all walkways and doorways were free of hazards, obstructions, and debris. All areas had ample lighting available. The temperature was a comfortably maintained throughout the facility. Safety All rooms, common spaces and hallways were equipped with smoke and carbon monoxide detectors, as well as a sprinkler system which were serviced and checked by the Los Angeles Fire Department in May 2023. All fire extinguishers were fully charged and last serviced on 03/04/2023. The last emergency drill was in June 2023. All exits were marked, and signs posted. The elevators were last maintenance and inspected in June 2023. The First Aid Kit was inspected and found to contain all the required items and a manual. Files LPA reviewed 5 resident files, and found they contained the necessary documentation. LPA reviewed 5 staff files and found they contained the necessary documentation and certification. Medications All medications are stored and locked in the medication room on the 2 nd floor. LPA reviewed the MARs and matched it to 5 residents’ medication. LPA reviewed the Liability Insurance which expires on 03/01/2024. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA did observe deficiencies, therefore citations were issued at this time. Physical Plant/Environmental Safety - Type B: 87307(d)(4) Resident Rights/Information - Type B: 87468(c)(2)(A) Disaster Preparedness - Type B: 1569.695(a)(1) An exit interview conducted with Bernice Pulanco, Administrator and copy of report, & appeal rights were provided.