Routine inspection·May 30, 2024

Licensing Program Analyst(s)(LPA) Sanjay Vaid conducted an unannounced annual visit at the facility using the CARE tool. LPA met with Rosalie Sandoval administrator and explained the reason for the visit. Licensing Program Analyst(LPA) Sanjay Vaid conducted continuation of the annual from 05/23/24. During the last visit the following care tools utilized were : Operational Requirements, Physical Plant and Environment, Staffing, Residents rights information, Planned Activities and Food Services. On todays visit the following care tools utilized were: Infection Control, Personal Records training, Resident Rec-Incident Reports, Disaster Preparedness, Resident with SHN and Accidental M&D. The facility is licensed to serve 40 non-ambulatory residents ages 60 and over with an approved hospice waiver for 5 residents. The facility is a 2-story building located in a residential area, it has 20 shared rooms, an activity room, a dining room with kitchenette, a medication room, a cover balcony in the second floor, and a back outdoor area. Facility does not have a kitchen and per the plan of operation they receive food prepared in their sister facility for all resident meals. Medication room was observed inaccessible to the residents. Medication was reviewed for 5 residents. LPA reviewed 5 resident/staff files and interviewed 5 residents and 4 staff. Last fire inspections was conducted on 4/02/24. Last fire drill was conducted on 4/10/23, earthquake drill was conducted on 04/25/24. Administrators certificate #6012456740 is in process of renewal, post mark for renewal sent is 12/14/23. No deficiencies were noted on today’s visit. Exit interview was conducted with Rosalie Sandoval administrator and a copy of this report, was provided.