Routine inspection·December 10, 2024

O n 12/10/2024 at 8:18am, Licensing Program Analyst (LPA) Zina Brown conducted an unannounced visit to the above facility. The purpose of today’s visit was to conduct the one- year inspection (due February 2025). LPA met with Marcus Falanai, Resident Care Coordinator and the purpose of the visit was discussed. Facility is licensed to serve age range 60 and over which is approved for 170 non-ambulatory of which 24 may be bedridden (bedroom 301 - 303, 307 - 308, 311-314 may have 2 bedridden) and bedroom #304-306 and 309 may have 1 bedridden only with a waiver granted for hospice care for ten (10). There are (50) residents are diagnosed with dementia, (9) residents receiving home health, (10) residents receiving hospice care services and (1) resident receiving palliative care. The last fire inspection was completed on 05/08/2024. The facility does not handle any of the residents’ money. The facility annual fee is $ $2,311.00 which is due on 02/09/2025. LPA provided pin # 773699 if facility choose to make facility annual payment online. The facility a single story building consisting of: (142) resident bedrooms, (43) Full bathrooms, kitchen, (4) dining area, laundry room, medication room and (10) outdoor shaded patio areas. LPA toured the resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. 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, water temperature measured between 108.0F -112.3.1F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards; doorways were free of obstructions. Report continues on LIC 809-C A review of (10) residents service files, (10) staff personnel files and (10) Medication Administration Records (MAR) and did observe discrepancies at the time of visit. Kitchen was checked and observed to be within Title 22 regulations. Perishable and non-perishable food supply was checked. All cleaning solutions, hazardous items, and medications were securely locked and inaccessible to residents. Smoke detectors were working properly, and fire extinguisher was fully charged. Carbon monoxide detector was operational. First Aid kit was available. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises. - Deficiencies cited under California Code of Regulations (Title 22, Division 6, Chapter 8); LPA observed the following deficiencies: On 12/10/2024 at 1:45 pm while LPA was conducting a tour of the physical plant, LPA reviewed and observed: 4 out 10 staff (Staff #1, Staff #4 - Staff #6) with no CPR/First Aid Certification. 8 out of 10 staff did not have a LIC 503 Health Screening with TB Test results. 10 out of 10 residents medication was not listed on the MAR, empty and or not check off by staff on consecutive days. LPA conducted a file review of the 5 out of 10 residents files and did not observe an Needs and Services Plan within 30 days after admission date. An exit interview was conducted, and a copy of Report and Appeal Rights provided.