Routine inspection·April 29, 2024

On 4/29/24 Licensing Program Analyst (LPA) Elvira Gonzalez conducted an unannounced Annual inspection visit to the above facility using the CARE tool. LPA was met by Arjene Aguirre, Assistant Administrator, and the purpose of today’s visit was explained. The facility is licensed to serve seventy (70) non-ambulatory residents aged 60 and above. Hospice waiver approved for a maximum of 3 hospice residents. Currently there are fifty-eight (58) residents in care. The facility is a large four-story building located in a residential neighborhood. The facility consists of 60 resident rooms and each containing a bathroom, community restrooms, dining area, an outdoor shaded area, a laundry room, a gym, media room, a beauty salon, a swimming pool which the activity coordinator is a certified in water safety and drowning hazards, reception area, medication room and administrative offices. LPA Gonzalez and Arjene Aguirre toured the physical plant inside and out. There were no bodies of water or obstructions on the premises. Resident rooms were inspected. Bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Bathrooms were clean and operational and found to be within Title 22 regulations. Toilets and water faucets worked properly, shower was free of mold/mildew, and there was adequate lighting, and sufficient toiletries accessible to residents. During the inspection, LPA observed the water temperature measured above 120.0 F in all rooms inspected. LPA observed the facility to be clean and appropriately furnished with clear passageways inside and outside. A comfortable temperature was maintained in the facility. Sufficient perishable and non-perishable food supply was maintained adequately in the facility. Sharps, toxins, cleaning solutions, hazardous items, and medications were securely locked and inaccessible to clients. A landline was observed, each resident has a working phone in their room. Continued on LIC809-C Exits/ Walkways around the facility were free of debris and hazards. Medications were centrally stored and properly locked. Smoke detectors and carbon monoxide were tested and are working properly. Fire extinguishers were fully charged. A stocked First Aid kit along with manual was available. Outside grounds were toured, and no bodies of water were observed. Walkways around the facility were clear of hazards. Common areas were clean and clear of hazards; doorways were free of obstructions. During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents. There are sanitizing stations in common areas and restrooms. All mandated inspection control posters were posted. During this inspection, deficiencies were cited, please refer to LIC 809-D. An exit interview was conducted, and a copy of report and Appeal Rights was provided to Assistant Administrator, Arjene Aguirre.