Non-compliance follow-up·March 17, 2023

Licensing Program Analyst (LPA) Michael Cava conducted Case Management (CM) visit and inspection of the facility to insure facility compliance. On May 27, 2022, a Non Compliance Conference (NCC) was held at the Woodland Hills Regional office. As a result of that NCC, the facility was placed on a three year compliance plan. LPA met with staff, Arlene Aragon and Manuel Soriano and explained the reason for the visit. At approximately 10:45am, with the assistance of staff, LPA took a tour of the physical plant. The smoke alarms are hardwired. The carbon monoxide detector is installed in the dining room. The fire extinguisher is located in the kitchen. It is brand new. The purchase date is August 4, 2022. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. LPA did not observe any sharps or knives out in the open. They were properly stored and locked in a cabinet. Properly labeled medications were locked in one of the kitchen cabinets, along with the medication, staff and resident records. Bedrooms: There were six (6) bedrooms designated for residents' use. Five (5) bedrooms are private amd one (1) is shared. All the bedrooms were properly furnished with appropriate beddings, linens and sufficient lighting. Bathrooms: There are three (3) bathrooms designated for residents' use. Bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured at 105 degrees Fahrenheit. Common Areas : These included the living room and dining area. The common areas were properly furnished. The auditory alarms on all exit doors were on and functional at the time of the visit. Surrounding Grounds : Entry/exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. There was enough space to hold outdoor activities for the residents in care. The laundry area is located by the living room. Cleaning supplies are stored and maintained locked there. Residents are not allowed to enter the laundry area. Medications : Medication and Medication Records were reviewed for proper documentation. Pursuant to Title 22 Division 6 of the CA Code of Regulations, there were no deficiencies observed during the day's visit. Exit Interview Conducted and a Copy of this report was issued.