Routine inspection·December 16, 2024

On 12/16/2024 at approximately 10:30 a.m. Licensing Program Analyst (LPA) Evelin Rios, conducted an Annual Required visit and inspection of the facility. Upon entry LPA was asked to sign in by a security guard at reception. Facility utilizes one main entrance for visitors and has different entry and exits for residents and staff through out the facility. LPA met with Administrator Edina Lemus, and explained the reason for the visit. LPA requested a copy of the resident roster, personnel report, and facility's policy other than what was submitted during the application process. LPA along with the administrator and later with Agnieszka Sibbitt, the Supervisory Registered Nurse conducted a physical plant tour at approximately 10:50 a.m., and the following was observed: By the main entrance and through out the facility LPA observed appropriate postings such as, resident's rights, Rights of Resident Council, the facility's activity calendar and menu. Kitchen: The kitchen has an industrial setting and observed to be clean and in proper order. Appliances and fixtures were observed to be functional. Sufficient amount of perishable and non-perishable food were in stock and properly stored. Kitchen is inaccessible to residents. Dishwashing liquids and other cleaning agents are separated from food preparation area. LPA discussed food delivery, meal planning and overall food monitoring with the Food Manager on today's visit. The CA Department of Forestry and Fire Protection conduct an annual inspection on 06/10/2024. LPA requires more time to review CAL FIRE's report. Report states deficiencies were noted and require corrective action. Facility provided to LPA, a fire system smoke detector inspection conducted by Champions Fire System Inc certifying no defects for devises. It appears all fire extinguishers were last serviced on December 15, 2023. Common Areas : These includes the activity room, gym, lounge, snack rooms, and dining area. (Continue to LIC809) The furniture is in good repair. Hallways and passageways are free of obstruction. Surrounding Grounds : Entry/exits and hallways were free of obstruction. There is a court yard accessible to residents with appropriate outdoor furniture. The outdoor area was free of hazards. There are no bodies of water. LPA reviewed facility's Emergency Disaster Plan (LIC610E), Emergency Operation Plan, Fire and Safety Inspection (STD850) for the modular unit, Fire Drills, Liability Certification and Bond and speciality insurance. At approximately 2:10 p.m. LPA and the administrator discussed the PolicyTech and whether the administrator before had submitted the information to CCL. Administrator could not definitely say if one was provided but confirmed any updates or changes to PolicyTech have not been submitted to CCL. Due to time restraints, LPA was unable to complete the annual visit at this time. LPA did not review any staff files, resident records, or medication documentation at the time of this visit. A follow-up visit will be conducted at a later date to complete the annual inspection. Deficiency Cited and cleared on todays visit (refer to LIC809-D). Exit interview conducted. Appeal Rights Provided. Copy of report signed and provided.