Routine inspection·October 27, 2021

Licensing Program Analysts (LPA) Christine Wong, Cynthia Chan and Alma Gonzalez conducted an annual required visit. LPA's met with Director of Residential Services, Minerva Naranjo and explained the reason for the visit. LPA's used the infection control tool to evaluate the facility. LPA's observed the facility plant, COVID-19 procedures, reviewed residents' medications, observed food supply, and reviewed resident and staff files. Facility has submitted a mitigation plan and approved on 04/10/21. The facility is located in a large campus that includes independent living, assisted living, memory care and skilled nursing. The assisted living and memory care buildings were toured. The assisted living building has 2 floors. The first floor consist of resident bedrooms, kitchen, dining room and activity room. The furniture in the dining room was adequate and the kitchen was clean. The appliances were working properly. The refrigerators and freezers are set at appropriate temperatures. There was sufficient perishable and non-perishable food and the food is stored properly. There are smoke detectors and fire extinguishers located throughout the building and they are operational. The hallways and stairways are clear and free of any obstructions. LPA inspected Room#102, #104, #107, #116, #209, #214. The rooms are properly furnished with bedframes, dressers, lamps and chairs. The beds have adequate linen. The bathrooms have the required grab bars near the toilet and in the shower. The hot water was tested and was between 115.7 and 118.9 degrees, which is within the required 105 - 120 degrees. The memory care unit was also toured. The memory care unit is a cottage that is separate from the assisted living building. Memory care unit has three different houses with separate key pad entrance. It consists of dining area, kitchen and laundry room. LPA inspected Room#1, #5, #7, #10, #12, 13. Bedrooms have the required furniture and bathrooms have the required grab bars. The hot water was tested and it was between 109 and 116 degrees F, which required 105-120 degrees F. LPA's reviewed ten (10) resident files to confirm emergency contact is updated. LPA's also reviewed staff files to confirm health screenings and fingerprint clearances. LPA's reviewed 10 residents' medications included four (4) residents in memory care unit and six (6) residents in assisted living. Seven (7) Residents have no PRN medication located in the facility. Facility is currently following COVID 19 recommendations regarding COVID 19 signs throughout the facility, disinfecting products are available in each room and facility is disinfected all day long, restrooms have sufficient soap, paper towels, and signs, facility has an isolation room and a cart with PPE supplies, and PPE supplies are sufficient for more than 30 days. Per California Code of Regulations, Title 22, the deficiencies observed are documented on 809D. Exit interview held. A copy of the report and appeal rights were provided.