Routine inspection (multi-day)·November 7, 2024

Licensing Program Analyst (LPAs) Leslie Ngo-Castaneda and Huma Rahimi conducted an continuation annual required visit and inspection of the facility. At 11:40 AM Yelena Aladayan who is the administrator met with LPA, explained the reason for the visit. At 11:45 AM, with the assistance of administrator, LPAs took a tour of the physical plant. Required postings were observed in the entry area. The smoke alarms are operational that are located each bedroom, the hallway and kitchen. There are carbon monoxide detectors that functions properly. The fire extinguisher is in the kitchen. The charge date is 11/01/2023. During the visit the facility is at 74 degrees Fahrenheit. The facility is fire cleared for six (06) non-ambulatory residents. Kitchen: The kitchen appliances and fixtures were functional. The kitchen has a working gas stove, faucet, freezer, refrigerator, and microwave. LPAs found enough at least two (2) days perishable and seven (7) days non-perishable food at the facility that is properly stored. Frozen foods are wrap, dated, and stored properly as well. Knives were stored in a locked drawer in the kitchen. Food storage and preparation areas are clean and inaccessible to pests. Garbage cans have tight fitting covers. Cleaning supplies, pesticides or toxic cleaning supplies were stored and not locked away in the kitchen. Citation will be issued in LIC 809-D. Bedrooms: There were four (4) bedrooms designated for residents' use. Bedroom #2 and bedroom #4 are private, but bedroom #1 and bedroom #3 are shared. All of the bedrooms are used by residents were properly furnished with appropriate dresser, beddings, and linens with sufficient lighting. Continue to LIC 809-C Bathrooms: There are two (2) bathroom designated for residents' use. The bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured at 109.6 degrees Fahrenheit for bathroom #1 located in the hallway beside room #1. Bathroom #2 is inside bedroom #3. Hot water temperature was measured at 112.8 degrees Fahrenheit. There was enough clean linen available in the cabinets in the hallway. Common Areas: LPA toured all common areas of the facility. These included the living room and dining area for residents. The common areas were properly furnished. Residents dining table fits enough for six (6). LPA observed common areas to be very clean and tidy. LPA observed the floors to be in very good condition. No obstructions and or tripping hazards throughout the facility. Furniture in common area was observed to be in good repair. There are no issues with Fire Clearance. Infection control : Facility mitigation plan to make sure licensee was following current infection control recommendations. LPA obtain a copy and reviewed the infection control plan during this visit. Surrounding Grounds : Entry and exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. The facility has a swimming pool, it is locked and fenced up. The garage is attached and is used for storage. LPA found expired medication from previous resident who had passed. Deficiency will be cited on LIC 809-D. Laundry service: There is enough linen available to change weekly or more if need. LPA found cleaning supplies are being stored in an unlocked cabinet in the laundry area and is located beside the kitchen. Deficiency will be cited on LIC 809-D. Staff Files : LPA also conducted a file review of staff records to ensure forms and training are up to date and compliance with licensing forms. Office space is beside the dining table. Records were checked for expired or missing certificates and clearances: LPA conducted a file review of staff for criminal record clearances and current First Aid. LPA did a record review for S4 file and their missing a current CPR training. Citation will be issued in LIC 809- D. The administrator file was reviewed for current first aid, fingerprint clearance, administrator certificate, and HIV/AIDS and TB training. Continue to LIC 809-C Medications : LPAs observed that the medication are kept in the living room in a locked cabinet and inaccessible to residents in care, however, review of R1's random medication revealed that the facility was supposed to start Quetiapin Fumarate 25 MG ( schizophrenia and bipolar disorder ) a new bubble pack on 10/20/2024. During today's visit LPAs counted R1's medication and it was discovered that there was a discrepancy, and three (3) extra pills were in the bubble pack. LPA asked the Administrator and the staff for explaining and both staff could not provide any answers. Additionally, LPAs also observed Centrally Stored Medication (LIC 622) records for R5 and did not observe staff filling the form when the medication start date. A deficiency will be cited. First-aid has all proper items and is current. Resident records were reviewed for requirements and legibility: Planned activities are offered. LPA reviewed six (6) of the six (6) records and LPA found all files to be complete. Facility is within CA code of Regulations Title 22 or Health and Safety Code. Deficiencies were found, exit interview conducted, copy of report has been issued and discussed.