Routine inspection·June 25, 2024

Licensing Program Analyst (LPA) Esther Cortez arrived at the facility unannounced to conduct a required Annual visit. The LPA met with Administrator Clarizze Punit and explained the reason for the visit. At 2:39 p.m. the LPA toured the physical plant areas inside and outside, with the administrator to ensure there are no health and safety hazards. BEDROOMS: The LPA observed the resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. Bedrooms were observed to be single and double occupancy. At 2:41 p.m. the LPA observed a whole in the residents restroom door in room #101. At 2:45 p.m. the LPA observed two (2) clorox wipes bottles, one (1) Lysol can, one (1) Arnica Roll, (1) simply saline nasal mist bottle in room #103. At 3:00 p.m. the LPA observed one (1) Resolve Pet expert stain and color remover, one (1) container of Kaboom oxiclean, one (1) Miralax bottle, one (1) container of Tide Pods, one (1) container of fabric softener, one (1) bottle of prescribed Nystatin 100,000 unit/GM powder, and one (1) kitchen knife in room #105. At 3:22 p.m. the LPA observed a whole in the wall in room #226. At 3:28 p.m. the LPA observed one (1) bottle of Tide free and gente detergent, and dust and stains on the floor in room #228. At 3:30 p.m. the LPA observed one (1) bottle of Raid Ant &Roach, one (1) bottle of Pepto-Bismol, one (1) bottle of Lysol, and the drawer of the residents dresser falling, in room #227. All bedrooms that were observed were unlocked. The flooring was checked for cleanliness and carpet in bedrooms appeared stained in most bedrooms. RESTROOMS : Resident restrooms are clean, sanitary, and in operating condition with grab bars and non-skid surfaces. The LPA observed sufficient amounts of soap and paper products. Restroom hot water were measured in resident restrooms between 112.6 and 116.4 degrees Fahrenheit between 02:44 p.m. and 3:20 p.m. Report will continue on LIC 809 - C. KITCHEN: At 2:50 p.m. the LPA observed the kitchen/dining area. Knives are stored inaccessible to the residents in care. Kitchen appliances were in operable condition. The facility has enough supply of perishable and non-perishable food. Freezer and refrigerator are stocked with a variety of foods. The facility has a pre-set menu however offers the option for residents to choose from a variety of different options if menu choices are not to their taste. COMMON and OUTDOOR AREAS: At 3:34 p.m. the LPA observed stains throughout the carpet in the hallway on the second floor and a rip measuring at 5 feet. At 3: 36 p.m. the LPA observed a floor tile inside the elevator broken measuring at 14 inches by 10 inches. The LPA observed the outdoor area. A small patio area is adjacent to the building and is accessible to residents. A shaded area with furniture is accessible to visitors and residents to visit. he common areas included a front lobby area, downstairs entertainment area and upstairs activity room. All areas were accessible for resident use with appropriate furnishings. The LPA observed cameras in all common spaces. Smoke detectors are hardwired and interconnected, at approximately 3:40 p.m. the smoke detectors were tested and operable. The LPA observed fire extinguishers fully charged and last serviced on 05/05/2024. INTERVIEWS : The LPA conducted three (3) resident interviews. No immediate concerns were voiced during the visit. Due to a time constraint, the LPA will return at a later date to complete the annual. The following deficiencies were observed (See LIC 809-D.) and cited from the California Code of Regulations, Title 22 and California Health and Safety Code. Failure to correct the deficiencies may result in civil penalties Exit interview conducted and copy of the report was ssued.