Routine inspection·June 19, 2023

On 6/19/2023, Licensing Program Analyst (LPA) Antonine Richard conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with business manager Julie Manzanares and explained the purpose of today’s visit. LPA was granted entrance to the facility. The facility is an RCFE licensed for one-hundred and twenty-eight (128) non-ambulatory and also includes a hospice waiver for (10) ten. Currently, there are (67) residents residing in the facility, all are over the age of 59 or older. LPA was later joined on the visit by executive director Matan Burstyn. The facility is a four-story structure located in a residential neighborhood. It consists of the following: ninety-two (92) resident rooms with attached bathrooms, dining area, kitchen, garage, library, activity room, gym, front garden with two outdoor covered areas in which there are tables and chairs, and a back outdoor covered area in which there are also tables and chairs. LPA Richard and Manzanares toured the physical plant. There were no bodies of water or obstructions on the premises. Beds and bedding supplies were in good condition, adequate lighting provided was provided in residents rooms and storage for client personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulations and were clean and operational. The hot water temperature tested 117. 9F degrees. LPA observed the facility to be sanitary and appropriately furnished at the time of visit. Storage for area cleaning supplies, toxins, and sharps objects was observed and not accessible to clients. The kitchen was inspected and there is sufficient perishable and non-perishable food available and maintained properly. Smoke detectors were observed in client rooms and are connected to the fire department. LPA reviewed Medication Administration Record (MAR) and observed it to be maintained in order and accurate During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents as well as sanitizing stations in common areas and restrooms. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. A review of staff tests and residents' vaccination records along with daily temperature checks were conducted. The facility has an approved Mitigation Plan Report on file with CCLD. LPA advised the business executive to create more activities, so residents would have more choices and events to attend. According to the California Code of Regulations Title 22. During today's visit there was a deficiency observed. There was no administrator available at the facility. Administrator Certification Requirements or the Recertification Requirements in section 87407, Administrator recertification Requirements. An exit interview was held. A copy of the report and appeal rights were provided to business executive Julie Manzanares