Routine inspection·October 13, 2023

On 10/13/23, Licensing Program Analyst's (LPA's) Villegas and Iniguez conducted an unannounced annual required visit using the CARE Inspection Tool. LPA's met with Executive Director Janie Acosta as the purpose of today’s visit was explained. The facility is licensed to serve The facility is licensed to serve 300 elderly adults 60 and over non-ambulatory of which 10 may be bedridden, may retain 30 hospice residents and has a dementia Wing w/ delayed egress. Current census is 241. The facility is a 3-story structure located in a residential neighborhood and consists of the following: 278 bedrooms and 4 common bathrooms, multimedia rooms, commercial kitchen, large dining room, media room and a large common patio. LPA’s conducted a records review of 10 staff records, 10 resident records, and 10 medication Administration Records. Medications were centrally stored and properly locked, first aid kit was checked and fully stocked. The last fire and disaster drill was conducted on 09/08/23, fire extinguishers fully charged and observed throughout the facility, carbon monoxide detectors, smoke detectors and auditory signals are operational. Landline and internet service was observed. Liability insurance is current and active. Resident bedrooms were checked, mattresses and box springs were in good condition, adequate lighting, plenty of dresser and closet space was observed. Bathroom toilets and water faucets worked properly, shower was free of mold/mildew, and there are sufficient toiletries accessible to residents. The water temperature properly measured between 105-120 F.. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. Toxins and knifes were observed to be locked and inaccessible to residents. Exits/ Walkways around the facility were free of debris and hazards. During today’s visit the following discrepancy was cited on 809 D page. Exit interview conducted with Executive Director Janie Acosta, appeal rights explained, and a copy of this report was provided.