Routine inspection·August 23, 2024

At 12:30pm Licensing Program Analyst (LPA), Angela Panushkina conducted an unannounced annual inspection at the facility mentioned above. LPA met with the staff and the Administrator was contacted via phone. The Administrator arrived shortly after and LPA explained the reason for the visit. Physical tour was conducted with the Administrator and LPA observed the following: The facility has an approved fire clearance for six (6) bedridden and six (6) hospice residents. Kitchen: At approximately, 1:05pm LPA toured the kitchen area and observed enough supplies of staple non-perishable for minimum one (1) week and perishable for two (2) days at the facility. All knives and sharps observed to be locked in the kitchen drawer. LPA observed a fully charged fire extinguisher in the kitchen. Medications: At approximately, 1:10pm LPA observed medications are centrally stored and locked in a medication cart/cabinet. A fully stocked First Aid Kit was kept by the medication cart/cabinet. Bedrooms: LPA observed total of five (5) bedrooms designated for clients use. Bedrooms #1, #2 #3 and #4 are private and bedroom #5 is shared. All bedrooms are properly furnished, clean and have appropriate bedding and linens. LPA also observed one (1) hospital bed (in room # 2) with full rail and two (2) hospital beds (in rooms #3 and #4) with ½ bed rails, without a written physician orders in place/on file. Bathrooms: LPA observed two (2) bathrooms, and both appeared to be clean and in good repair. Properly supplied with toilet papers, soap and paper towels. LPA observed appropriate grab bar and client's bathroom had non-skid mat. Hot water temperature measured at 119.1°F. Continue on LIC 809C Common Areas : The living room and dining area appeared clean and were properly furnished. The living room has a television, comfortable furniture. No obstructions and or tripping hazards throughout the facility. The garage was locked and contained an extra refrigerator and freezer, paper supplies, incontinence supplies, and PPE. The garage was also used as a laundry room and LPA observed all the laundry detergent and other cleaning supplies to be locked and inaccessible to residents in care. LPA measured the room temperature to be 72°F. A fireplace in the living room was inaccessible and covered appropriately. Residents and staff were doing activities in the living room during the visit. Games, art materials, and television were provided. Smoke detectors/carbon monoxide . Smoke detectors and carbon monoxide were located throughout the facility, and at 1:30pm they were tested and observed to be operational. Outside areas: LPA toured the outside area of the facility. LPA observed appropriate outdoor furniture with a covered patio for residents’ use. Between 1:50pm to 3:00pm, LPA reviewed records of four (4) clients and one (1) staff. Administrative: LPA attempted to collect Certificate of Liability Insurance but was informed by the Administrator that no insurance is available at this time. Per the California Code of Regulations, Title 22, deficiencies are cited and noted on LIC-809D. Exit interview conducted and copy of this report signed and delivered.