Routine inspection·October 21, 2023

On 10/21/2023, Licensing Program Analyst (LPA) Alfonso Iniguez conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Cinthia Partida /Activities Director later with Valeria Garcia/LVN. LPA explained the purpose of today’s visit. The facility is licensed to serve (116) non-ambulatory elderly adults ages 60 and above. Facility waiver approved for (10) hospice residents. The facility is a three-story structure located in a residential neighborhood. It consists of (71) bedrooms, (77) full bathrooms, (2) 1/2 bath, shaded front yard, 1st floor - Medication room, nurses office, main lobby, laundry room, janitor closet, kitchen, dining room, activities lounge, TV room, beauty salon, public telephone. 2nd floor - laundry room, linen closet, game room/computer room. 3rd floor - Linen’s closet, activity storage, 3 miscellaneous storage closets. LPA Iniguez and staff toured the physical plant. There were no bodies of water or obstructions on the premises. A total of (8) rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the resident’s personal belongings was observed. Bathrooms were found to be within Title 22 regulations and were operational. LPA inspected rooms: #3, #7, #10, #35, #36, #38, #59, #63 Smoke and carbon monoxide are all operable conditions. The water temperature ranged from 109.5F° – 114.2F°. The rooms temperature ranged from 76F° – 78F°. Evaluation Report continues on LIC 809-C LPA Iniguez observed the facility to be sanitary and appropriately furnished at the time of the visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is sufficient perishable and non-perishable food available maintained properly. All fire extinguishers were charged and were operable. The last Fire/Disaster Drills were conducted on date: not date available. Working landline phones are available on-site. A review of (9) residents' service files (R1-R19) and (9) staff personnel files (S1-S9) and Medication Administration Records (MAR) were reviewed. No current liability insurance at the moment. LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas and restrooms. All mandated inspection control posters were posted throughout the facility. Deficiencies cited under California Code of Regulations, Title 22, Division 6, Chapter 8. (See D pages) An exit interview was conducted, and a copy of the Facility Evaluation Report and Appeal Rights was provided to the LVN/ Valeria Garcia .