Routine inspection·March 12, 2024

Licensing Program Analysts (LPA) Nune Margaryan conducted an unannounced annual visit using the Care Tool. LPA met with Director of Health Care Services Selene Rangel-Gutierrez who assisted with visit. PA explained the reason for the visit. The facility is licensed for 87 non-ambulatory residents aged 60 and older. Hospice Waiver approved for 25 residents. Currently 6 residents on hospice. This is a 2-story building which includes Terrace Park (1st floor and 2nd floor) and Canyon View (1st floor). LPA toured the facility which included the following: common areas, kitchen, dining rooms, activity rooms, living rooms, medication rooms and laundry room. Required postings were observed. A random sample of resident rooms where toured in each building / floor. There are multiple shaded areas available for resident use. There is a pool on the premises that is surrounded by fencing and in compliance with state and local building codes. During the tour LPA observed wood pallets, old / broken commodes, old / broken commercial sink, broken grill, broken old furniture in the back of facility, and in the front of laundry room. The water temperature was tested in a random selection of resident bathrooms in each floor. Water temperature was tested in the bathrooms in the rooms # 17, # 15, and # 14 and the reading shows 120.3 degree F, 122.5 degree F and 66.7 degree F. 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. Emergency call buttons were observed in every resident room. A random sample were tested and operable. Showers were free of mold and non-skid mats or strips were properly in place. Smoke detectors and carbon monoxide detectors were observed throughout the facility and in each resident room. Several fire extinguishers were observed throughout the facility in the hallways. Last Fire drills were conducted on 02/12/24 and 02/15/24. Continue 809C Kitchen appliances are clean and were operating at the time of the visit. Sharps are locked in the kitchen and are inaccessible to residents. Sufficient supply of 2 days perishable & 7 days non-perishable foods was observed. Cleaning supplies and toxins were observed unlocked and accessible to residents in the laundry room. Multiple First Aid kits were inspected and were fully stocked with current manuals. 6 resident medications were randomly selected for review. Medications are centrally stored in the medication rooms. Medications are documented properly and given as prescribed. LPA reviewed 3 resident records and 4 staff records. Per California Code of Regulations, Title 22, the deficiencies observed are documented on the attached 809D. Exit interview held. A copy of the report and appeal rights were provided to Selene Rangel-Gutierez.