Routine inspection (multi-day)·December 7, 2023

Licensing Program Analyst (LPA) Christine Yee conducted a subsequent visit to continue the required Annual Inspection initiated on 12/6/23 using the complete CARE Inspection Tool. LPA Yee conducted the visit with Evelina Papazyan, Administrator. On today's visit LPA Yee reviewed the following domains: Physical Plant/Environmental Safety, Disaster Preparedness and Residents with Special Health Needs. A tour of the physical plant , inside and outside was also conducted. The kitchen, dining room, lounge, television rooms, libraries were inspected and the following resident bedrooms were inspected: 104, 111, 114, 120, 126, 201, 206, 213, 220, 303, 310, 317, 332 and rooms in the Dementia Unit - 221, 226, 231, 236. Per tour of the physical plan the following were observed: the Kitchen had the appropriate equipment, cleaning solutions were stored under the table located by the kitchen sink. Sufficient perishables and non-perishable foods were observed, individual bottles of water were observed in the room used to store the emergency food. The dining room has plenty of sitting for all the residents to eat in one sitting. The lounge on the first floor has sufficient seating, The television room on the first floor and in memory care have plenty seating for residents. All the bedrooms inspected have the required bed, chair, lamp, night stand, closet and dresser except for rooms number 231 and room #236 are missing the dresser. Residents are using the desk drawers as dressers. Beds were observed with linens that the residents have chosen that they want to use. Extra linens were observed in the linen closet Blinds for the windows and sliding glass doors in bedrooms #104, #111, #126, #220, #221, 226 were observed missing slates or were broken. each bedroom has its own bathroom equipped with a shower with a shower curtain, grab bars, a shower chair, non-skid mat, a toilet and a sink. Water temperature was tested in the rooms that were inspected and the water temperature was within 105 -120 degrees Fahrenheit except for the following rooms - bedroom #201 - 121.8, bedroom # 206 - 121.4 and bedroom #236 - 93.2 degrees Fahrenheit Carbon monoxide detector were observed in the dining room, lounge, the snack room and in resident bedrooms. Smoke detectors located in all the resident bedrooms were not tested since the facility was just inspected by the vendor contracted by the fire department on 12/4/23 and the facility passed inspection. Copy of the report was obtained. Fire extinguishers last serviced on 3/16/23 were observed on each floor. Located on the first floor are 5 fire extinguishers, including the kitchen, five on the second floor and 4 on the third floor. First Aid Kit and first aid manual was observed. The door on bedroom #120 was observed warped and needs repair. Ceiling in bedroom #201 observed with chipped paint and needs repair due to water damage. The floor of the balcony outside the second floor library and the patio chair needs repair. The carpeting stored in the courtyard needs to be removed, The facility needs general cleaning and all discarded items stored by the dumpsters in the parking lot need to be removed. all three dumpsters in the parking lot were observed left open and needs to be tightly sealed. Due to time constraints, only Type A citations were issued on today's visit. A return visit will be conducted to issue Type B citations observed on today's visit Deficiencies cited under California Code of Regulations, Title 22, Division 6, Chapter 8 Exit interview was conducted, Appeals Rights discussed and a copy was provided.