Routine inspection·August 17, 2024

On 08/17/24 Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced required – annual inspection and met with Activities Director Cynthia Partida. 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, and (2) 1/2 bath, and shaded front yard. The first floor contains the following: medication room, nurses office, main lobby, laundry room, janitor closet, kitchen, dining room, activities lounge, TV room, beauty salon, and public telephone. The second floor contains the following: laundry room, linen closet, and game room/computer room. The third floor contains the following: linen’s closet, activity storage, and 3 miscellaneous storage closets. The Activities Director accompanied LPA inside and outside the facility during this inspection. Outside grounds were toured and no bodies of water were observed. Walkways around the facility were clear of hazards. Resident bedrooms (room #1, 16, 29, 29A, 30, 45, 58, 59, 66, 68) had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. There are no security bars or weapons on the premises. Continue to LIC 809-C. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place, hot water temperature properly measured at 111.6 (room 1), 113.7 (room 30), and 111.3 degree F (room 59). Resident bath towels and linen supplies were adequately stocked. Common areas were clean and clear of hazards, doorways were free of obstructions. LPA toured the kitchen area and observed a two-day supply of perishable and a seven-day supply of non-perishable food. First Aid kit was available. F ire extinguishers, last serviced February 20, 2024 was observed on each floor. Fire Inspection re-test was completed on 11/14/23. Nine staff records were reviewed, 9 out of 9 staff records had required criminal record clearances or criminal record exemptions. Nine resident records were reviewed and, 9 out of 9 resident records had medical assessments and pre-appraisal or reappraisals. Two medications were reviewed. No deficiencies are being cited. An exit interview was conducted, technical assistance provided, and a copy of this report was discussed and left with Licensed Vocational Nurse Valeria Garcia.