Routine inspection·March 12, 2024

Licensing Program Analyst (LPA) Tao conducted an unannounced annual inspection visit. LPA met with Administrator, Pamela Parsons. The facility is licensed to serve for a capacity of 200 residents including 175 non-ambulatory and 25 bedridden residents, ages 60 and above. The facility is approved for twenty-three (23) hospice residents and has an approved Dementia Care Plan. Annual licensing fees are current. Administrator certificate is current, and the expiration date is 07/31/24. During the visit, the CARE tool was used, a tour of the facility was conducted, food supply was reviewed, staff/residents were interviewed, facility records were reviewed, and medications were reviewed. The facility is located in a residential neighborhood, consists of three floors/levels and has 186 resident bedrooms and bathrooms. Resident bedrooms, memory care unit, recreation/activity rooms, beauty shop, storage rooms, employee lounge, library and laundry rooms are located at the lower level. Reception/lounge area, resident bedrooms, dining room, kitchen, multiple offices, recreation/activity rooms and laundry room are located at main level. Upper level consists of resident bedrooms, nurse's office, penthouse, recreation/activity rooms and laundry room. (-continued in LIC 809 C-) LPA conducted a physical plant. Residents’ rooms were well furnished and in compliance. The bathrooms inspected were clean, operable, with the required grab bars and non-skid materials in the shower. Hot water temperature was in a range of 106.2 - 110.5 degrees Fahrenheit which was within Title 22 Regulation guidelines. Adequate linen and personal hygiene supplies was observed. The resident rooms had signal systems. LPA randomly tested the signal system in different resident's room on each level and they were operable. Staff arrived at residents' rooms to respond the calls in a range of 3 to 5 minutes. The facility phones for residents’ use were located at the front desk and operable. Auditory alarm devices to monitor exits were operable at the memory care unit at the lower level. Sufficient supply of perishable and nonperishable foods were observed. The last Fire/Emergency Drill was conducted on 03/12/24. Smoke detectors and carbon monoxide detectors were operable. Outside grounds were toured and pool/spa area with self-latching fenced gate was observed. The outdoor activity area has a shaded patio with ample seating. Medications were centrally stored and locked in the nurse's office on the upper level. Resident records were stored in a locked cabinet and inaccessible to residents. Toxic substances were inaccessible to residents. No deficiencies were observed and cited per California Code of Regulations, Title 22. An exit interview was conducted. This report is discussed and provided to facility Administrator.