Routine inspection·May 13, 2023

On 05/13/23 Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Administrator Ginger Enriquez. LPA Dabuet explained the purpose of today’s visit. The facility is licensed to operate for (230) non-ambulatory elderly adults of which (10) may be bedridden ages 60 and above. Currently, the facility has (166) residents and (2) in hospice care. The facility is approved for (10) hospice residents. The facility is a two story structure located in a commercial neighborhood. It consists of the following: (35) resident bedrooms in Arbor Unit and (99) resident bedrooms in Assisted Living. Each room has a bathroom in the unit, an activity room, a dining area, a kitchen, and outside patio area. LPA toured the physical plant. There were no bodies of water on the premises. All 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. Bed linens, comforters, and bath towels were stocked during the visit. The resident rooms were inspected: #274, #203, #264, #4B, #30A #4A,,#231, #223, #235 #246, #247 and #267. All call buttons were in working condition. Bathrooms were operational with water temperature measured at 105.7 – 111.4 degrees F. A comfortable temperature was maintained in the facility at 72 - 74 degrees F. LPA observed the facility to be 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 sufficient perishable and non-perishable food was maintained adequately. Evaluation Report continues LIC 809-C Fire extinguishers were charged, and smoke detectors and carbon monoxide were operable in each resident's room. A review of the Medication Records Administration (MAR) was observed to be maintained in order and accurately. During the visit, 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. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. LPA conducted an audit of resident #1-#6 (R1-R6) service files, and staff #1-#7 (S1-S5) personnel files were in order and complete. LPA conducted (6) resident and (3) staff interviews. DEFICIENCIES : LPA observed a non-operational smoke detector outside the activity room in memory care. LPA observed two (2) kitchen stove burners not working. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), the following deficiencies has been observed and citation issued (ref. LIC 9099-D). An exit interview conducted with Ginger Enriquez and a copy of report and appeal rights provided. Note: *Citations not cleared by the due date will be a $100 fine assessed for each citation until it is cleared. Civil penalties will continue to accrue until Proof of Corrections (POC) are cleared. * This report serves as an amendment to clarify finding. It does not supersedes the evaluation report findings reflected on report created 05/13/23 .