Routine inspection·February 24, 2025

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. Approved for delayed egress, secured perimeter, and secured locked perimeter. 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. LPA observed cleaning solution, nail polish jar, nail clipper and the duracell batteries in the drawer of the cabinet located in the Terrace Park dining 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. All indoor and outdoor passageways were free of obstruction. The water temperature was tested in a random selection of resident bathrooms in each floor and measured between 110.2F - 116.2F which is within the required 105F - 120F. 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 02/04/25. 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. LPA observed that there is a sufficient perishable food for 2 days but not enough non-perishable food was observed for 7 days. Cleaning supplies and toxins were observed locked and inaccessible to residents in the laundry room. Multiple First Aid kits were inspected and were fully stocked with current manuals. 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 6 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.