Routine inspection·July 8, 2023

On 07/08/23, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with administrator Maria Trillana . LPA explained the purpose of today’s visit. The facility is licensed to operate for (6) non-ambulatory and (2) may be bedridden elderly adults ages 60 and above. The facility is approved for (3) hospice residents. The facility has (2) residents on hospice care. The facility is a single-story structure located in a residential neighborhood. It consists of the following: (4) residents' rooms, (3) bathrooms, a living area, a dining area, a kitchen, an outside seating area, and a garage. LPA toured the physical plant. There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in operational condition, lighting was provided, and storage for the resident's personal belongings was observed. Bed linens, comforters, and bath towels were available during the visit. Bathrooms were operational with water temperature measured at 105.0 degrees F. A comfortable temperature of 72 degrees F. was maintained in the facility. LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene and sharps objects were stored and not accessible to residents. The kitchen was inspected, and sufficient perishable and non-perishable food was maintained adequately. A fire extinguisher was charged. A review of the Medication Records Administration (MAR) was observed to be maintained in place. (Evaluation Report continues LIC 809-C) During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, and 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. LPA observed First Aid Kit was maintained. A working landline phone was operational. The last fire drill was conducted on 01/28/23. The facility had operational smoke and carbon monoxide in bedrooms and common areas. The facility has current liability insurance on file effective 09/04/22 through 07/23/23. An audit of resident #1-#6 (R1-R6) service files and staff #1-#4 (S1-S4) personnel files revealed to be complete. Interviews were conducted with (3) residents and (3) staff. Deficiencies: Staff #2 did not have a LIC 503 Health Screening/TB Test Resident #4 missed prescribed medication on 07/07/23 observed medication still in bubble pack. Based on observations, interviews, and record reviews, the facility is in violation of California Code of Regulations, Title 22, Division 6 and Chapter 8 are being cited on the attached LIC 9099-D. An exit interview was conducted with Maria Trillana and a copy of the report was provided.