Routine inspection·January 16, 2025

Licensing Program Analysts (LPA) Sparkle Day, Ernand Dabuet, Lizeth Villegas and Alfonso Iniguez conducted an unannounced visit to the above facility. The purpose of today’s visit was to conduct the one-year inspection. LPA met with Grace Hwang, Assistant Manager and the purpose of the visit was discussed. During this visit Erik Doan , Administrator arrived and assisted with the visit. The facility is licensed to serve 111 non- ambulatory residents age 60 and over . The facility has an approved hospice waiver for 25 residents. Current census is 49 The facility does not handle any of the residents’ money. Currently there are 4 residents receiving hospice services and 20 residents receiving home health services. The facility is a two-story structure located in a residential neighborhood. It consists of the following: (72) resident bedrooms and (77) bathrooms. There is a administrative office, an activity area, dining area, kitchen, medication room, and an outside patio. LPA observed all walkways around the building to be clean, clear, and free of obstructions, debris, and hazards. LPA did not observe any bodies of water on the premises. LPA inspected eleven (11) resident rooms with restrooms, including 1, 3, 4, 33, 46, 65,72, 74, 86, and 87 . LPA observed all rooms to be properly furnished with a bed, dresser, night stand, chair, and storage space for resident’s personal belongings. LPAs toured the dining room, kitchen, Activity room and medication room. The facility had required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew.. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards; doorways were free of obstructions. 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. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPAs observed the following deficiencies and issued citations. * Kitchen :Stoves in kitchen ( 2 isles not working) on 1 stove (oven not working) * Dining room : 3 window panes cracked * Back entrance door window pane cracked *Physical Plant :Gate chained *Personnel records * Resident records * personnel training Exit interview conducted with Erik Doan, Administrator and Appeals Rights were explained. A copy of this report was provided