Routine inspection (multi-day)·February 3, 2024

Licensing Program Analyst (LPA) Bennette Pena conducted a subsequent visit for annual continuation. LPA met with Erika Becerra, Med-Tech who assisted with the inspection. The initial required-1 yr inspection was conducted on 02/02/2024. During the initial visit, Ana Y. Giron, Administrator also assisted LPA with the visit. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools today for the remaining domains and observed the following: Resident Rights-Information: Resident personal rights/non discrimination notice, complaint hotline information and visitors policy posters are posted in the lobby. Per Administrator, facility provides internet services to all residents and have access to the facility phone. Planned Activities: There is sufficient space to accommodate both indoor and outdoor activities. LPA observed sufficient equipment and supplies to accommodate residents with special needs to meet the requirements of the activity program. Monthly activity calendar is posted in the hallway next to the TV room/Resident's lounge. Currently, the facility does not have a Resident Council. According to the Med Tech, after Covid, none of the residents are interested to join the council, but they will continue to encourage residents to form a council. Food Service: Sufficient food supply is stored in the kitchen consisting of: 2-day perishables, 7-day non-perishables. A separate pantry area stores the emergency food and incontinence supplies. Physician orders for modified diets are on file. Pesticides and cleaning supplies are kept away from the food preparation areas. Kitchen is kept clean and free from rodents and other vermin. Plates, cups and utensils are kept cleaned and stored properly. Incident Medical and Dental: A total of ten (10) centrally stored resident medications were reviewed; containing 30-day supply of medications. Facility uses eMar called point-click to document residents medications. Most medications are bubble packed. A complete first aid kit is maintained in the medication room. Medical and dental transportation is provided. Resident Records/Incident Reports: A total of ten (10) resident files were reviewed. They contained Identification and Emergency Information, Admission Agreements, Physician's Reports, Pre Placement Appraisal, Resident Appraisal, Service and Needs Plans, Personal Rights, Residents Personal Property and Valuables, TB clearance, Functional Capability Assessment, and Medical Consent. Disaster Preparedness: Emergency and Disaster Plan LIC 610E is in place, and evacuation chair at each stairway is in place. Records of resident Appraisal and Needs services plans are part of Emergency training. Residents with Special Health Needs: Eleven (11) residents are receiving home health services. Two (2) residents receive hospice care. LPA observed that there are 2 residents (R1/R2) under hospice care but CCL/Licensing was not notified in writing of the initiation of hospice care services. Per California Code of Regulations, Title 22, deficiency was cited and Technical Assistance issued. Exit interview conducted and a copy of the report and appeal rights were provided to Ana Y. Giron, Administrator.