Routine inspection·July 29, 2021

Licensing Program Analyst (LPA) David Sicairos conducted an unannounced annual visit using the Infection Control Evaluation Tool. LPA met with Administrator Linda Fan and explained the reason for the visit. Physical Plant was toured, sample record of medications were reviewed, and food supply was inspected. The following were observed/inspected: LPA and Administrator toured the facility which included a random sample of resident rooms along with the kitchen, dining room, linen room, upstair and downstai lobbies, and medication room. The backyard patio area is well maintained and there are no pools or large bodies of water. There is a shaded seating area for the residents located in the patio area. Passageways and exits are free of obstruction. The water temperature was tested in a random selection of resident bathrooms and measured at 119.1F. Resident bedrooms have the required furniture such as bed frames, dressers, lamps and chairs. Bedrooms also have sufficient closet space. Resident beds have the required linen and the linen is in good condition. Smoke detectors were observed throughout the facility and were tested and operable during the visit. There is several carbon monoxide detectors throughout the hallways of the facility. There are several fire extinguisher located throughout the facility. Kitchen appliances are clean and were operating at the time of the visit. Sharps are locked in the kitchen and are inaccessible to residents. Cleaning supplies and toxins are locked in a storage room and are inaccessible to residents. First Aid kit was fully stocked with current manual. Signs are posted throughout the facility to promote hand washing, cough/sneeze etiquette, and physical distancing. Sufficient supply of perishable for 2 days & non-perishable foods for 7 days were observed. A random sample of medications were reviewed. LPA observed Administrator did not have a current record of centrally stored prescription medications for each resident. Administrator indicated Medication Administration Record Sheets (MARS) for residents were not up to date, however she was currently working on them. Staff and Resident files were not reviewed during today's visit. Per California Code of Regulations, Title 22, and California Health and Safety Code, the deficiency observed during the visit is documented on 809D. Exit interview held and a copy of the report along with appeal rights were provided.