Routine inspection·May 23, 2025

Licensing Program Analyst (LPA) Glenn Trueman made an unannounced visit and was greeted by Staff Carmen Virrueta and explained the reason for the visit. The purpose of the visit is to complete the required inspection. Shortly thereafter Administrator Maria Jacobo arrived. LPA Trueman toured the facility along with Staff Robert Blanco today 05/23/2025 at 9:00AM and the following was observed: Facility contains 80 Bedrooms and 80 Bathrooms for residents, dining room, 2 TV rooms , and outdoor patio area.. LPA inspected 11 Rooms which included on the 1st Floor # 8, 16, 23, 32, and 70. On the 2nd Floor #35, 45, 46, 66, 72, and 77. Hot water temperature measured between 105 F. and 120 F. meeting Title 22 Regulations. Room 8 (107.9), Room 16 (112.4), Room 23 (113.5), Room 32 (114.2) and Room 70 (112.8). Room 35 (106.2), 45 (109.2), Room 46 (110.4), Room 66 (107.2), Room 72 (112.2) and Room 77 (105.0) Required Annual inspection included Infection Control Practices, Operational Requirements, Physical Plant/ Environmental Safety, Staffing, Personnel Records/ Staff Training, Resident Records/ Incident Reports, Resident Rights/ Information, Planned Activities, Food Service, Incidental Medical and Dental, Disaster Preparedness, and Residents with Special Health Needs. LPA observed sufficient supply of 2 day perishables and 7 day non perishables. All staff were cleared and associated. Visitation signage was posted along with signage for hand washing and proper sanitizing. Staff responsible for providing care and supervision received training in First Aid. Licensee maintained an individual admission agreement for each client. Fire Clearance has been maintained. (cont. on 809 c ) Each client has personal rights free from corporal or unusual punishment, infliction of pain, humiliation, ridicule, coercion, threats, mental abuse, or other actions of a punitive nature. Program site was clean, safe, sanitary, and in good repair at all times for the safety and well being of clients, employees and visitors. Medication was reviewed for 7 Resident's. 7 Resident Files and 5 Staff Files were reviewed. Interviews were conducted with 5 Resident's and 3 Staff. During tour of the facility it was observed in Resident Room 35 Screen in the sliding door and Room 45 that there is a tear in the window screen. In Room 77 the Resident's mattress had a very large tear in the middle of the mattress. Deficiencies to be cited on a new 809 Case Management - Deficiencies which contains the specific citations which are not located in the Care Tools. Exit interview conducted.