Routine inspection·May 30, 2024

Licensing Program Analyst (LPA) Sparkle Day conducted an unannounced visit to the above facility. The purpose of today’s visit was to conduct the one-year inspection. LPA met with Luz Emma Rose, Administrator and the purpose of the visit was discussed. Facility is licensed to serve 136 non- ambulatory residents of which 6 may be bedridden. The facility has an approved hospice waiver for 12 residents. Currently(4) residents or on hospice, (2) residents have dementia and (7) are receiving Home health services. The facility does not handle any of the residents’ money. LPA and Administrator toured the facility @ approximately 1:00pm Structure/Physical Plant: The facility is a three-story building with 68 resident-bedrooms, and 74-bathrooms. 1st floor consists of a lobby area, laundry facility, staff break room , hair salon and an adjacent parking structure. The 2nd floor and 3rd floor consists of residential rooms. The 2nd floor also consists of the dining room, kitchen, outdoor shaded patio,courtyard area with tables and chairs, Activity room and medication room and Administrator office. The 3rd floor consists of resident rooms and storage. Outdoor passageways, walkways, driveways, steps, and patios are free from obstructions, hazards, or debris. LPA did not observe any bodies of water on the premises. Bedrooms During today's visit, LPA inspected rooms 203, 206, 211, 337, 342, 332 and 322. The Resident bedrooms are spacious and easily accommodate furnishings. All bedrooms were observed to have the required furniture per Title 22.. Bathrooms: Facility has approx. 74 bathrooms (68 full baths and 6 half). Bathrooms were observed to have a working toilet, wash basin and shower. All handrails were securely attached. LPA observed a non-skid mat and chair in showers. The water temperature measured between 108 degrees and 115-degrees Fahrenheit Linens & Hygiene Supplies: LPA observed an ample supply of linens including , and hygiene supplies for residents Kitchen LPA inspected the kitchen. During today’s inspection, LPA observed all appliance to be in good working order including stove burners, oven, microwave, freezer, and refrigerator. The refrigerator and freezer are maintained at the correct temperate for food storage. LPA observed a 3-day supply of perishable and a 7-day supply of non-perishable foods. All food was observed to be properly stored and labeled. Common Rooms LPA inspected all common rooms. In the dining room LPA observed ample seating to accommodate residents. A menu was posted at the entrance of the dining room and at the tables. LPA observed residents playing bingo in the activity room. The facility has board games, books, and other recreational materials for the client's use as well as an activity calendar. Residents are provided with a monthly activity calendar, and they are posted by the elevator on all floors. LPA observed all hallways, walkways, to be clean, clear, and free of obstructions or hazards. The facility was maintained at a comfortable temperature. Safety LPA observed multiple fully charged fire extinguishers mounted throughout the facility. There is a backup generator. The dual smoke/carbon monoxide detectors are hardwired and interconnected were operational and linked to LAFD. The system was last inspected and tested on 3/16/24 by LAFD. All required documents are posted according to Title 22. The First Aid Kit was inspected and contained the required items and a manual. LPA tested the landline and found it to be fully operational. All toxins and cleaning supplies are secured in a locked storage room on the 1 st floor and are inaccessible to residents. At approximately 11:00 am LPA observed all centrally stored medication to be in their original packaging. LPA reviewed the medications and MARs for 10 residents. All medications are secured in the Medication Room and are locked in a med cart. LPA reviewed the files for 10 residents and 5 staff and found they contained the required documents. LPA interviewed 5 residents and 7 staff. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA did not observe deficiencies, therefore no citations issued at this time. An exit interview was conducted and a copy of the Facility Evaluation Report was provided to the Administrator Luz Rose..