Routine inspection·August 26, 2024

Licensing Program Analyst (LPA) Tena Herrera conducted the required annual inspection. LPA arrived unannounced and met with Celina Vasquez - Administrator and explained the purpose for today’s visit. The facility is licensed to serve 20 Non-Ambulatory Residents, ages 60 and over. Facility may retain 10 hospice and 20 bedridden residents. There are currently 5 Residents using hospice services and 0 bedridden. The Facility is a single-story story building located in Whittier, CA. This is the unit that is in the rear of property. A tour of the facility included: 5 double-resident rooms with shared 1/2 bath, 2 semi-private rooms, 7 private rooms, 2 full bathrooms, living area, dining/activity area, kitchen, pantry, laundry room in detached unit along with storage, and patio area. Infection Control: The facility staff are using appropriate hand hygiene and cleaning/disinfecting throughout the day. Facility has sufficient PPE supplies and has an Infection Control Plan. Operational Requirements: The facility has an approved fire clearance, there is a plan of operation with required Dementia Plan and training, and facility maintains the required liability insurance. Physical Plant & Environment Safety: LPA toured facility, a total of 14 residents’ bedrooms were checked and had the required closet/drawer space to accommodate each resident comfortably available. The resident rooms have signal systems (or residents have pendants) which were tested and operating properly, however, alarm/buzzer on doors that lead to the exterior of facility were not operable (4 resident bedrooms have doors that lead to the exterior), details will be documented on 809-D. There are smoke detectors, carbon monoxide detectors and an emergency sprinkler system throughout the facility that are operable and in compliance. The fire extinguishers were observed throughout the facility and are fully charged. No bodies of water were observed at the facility. There are no security bars or weapons on the premises. Hygiene products are readily available. The hot water temperature was tested and was outside the required range of 105-120 degrees, measuring 132.3-137.8 degrees F, details documented in the 809-D. (Continued on 809-C) Staffing : There appears to be sufficient staffing at all times in the facility. With night staff that is trained and able to assist in care and supervision of the residents in the case of an emergency. Personnel Records-Training : Staff have criminal record clearance, current First-Aid training along with training in postural supports, Alzheimer’s and Dementia, medication assistance, and other ongoing training are documented in personnel files. LPA reviewed 5 staff files with no issues observed. Administrator Celina Vasquez certificate expires on 12/15/25. Resident Records-Incident Reports: Resident files are kept in a secure location and have the following documents in their files - Pre-admission appraisal/Appraisal Needs & Services Plan, Admission Agreements, Identification & Emergency Information and current Physician's Report. LPA reviewed 6 Resident Files with no issues observed. Residents Rights-Information: Residents are provided with telephone and internet at the facility. The facility has the following posters posted throughout the facility: Residents Rights, Complaint Poster, and Ombudsman. Planned Activities: Facility provides scheduled activities and there is sufficient space both indoor and outdoor for activities. Food Service: The kitchen was observed for the ability to prepare and serve food. LPA observed an appropriate food supply of two (2) days of perishables and one week (7 days) of non-perishables. Incidental Medical & Dental: Medication is properly labeled and are centrally stored and are in their original containers. During todays visit LPA observed a medication error, details will be documented on 809-D. Disaster Preparedness: The facility has an Emergency Disaster Plan with contact numbers and at least 2 relocation sites. The last drill was conducted on 8/2024, drills are conducted monthly at facility.. Residents with Special Health Needs: Facility admits residents with dementia and staff files reviewed today all have required training documented. Per California Code of Regulations, Title 22, and California Health and Safety Code, the deficiencies observed during the visit will be cited on the 809D. Exit interview held, a copy of the report and appeal rights were provided to Celina Vasquez.