Routine inspection·April 24, 2024

Licensing Program Analyst (LPA) Sparkle Day conducted an unannounced visit to the above facility. The purpose of today’s visit was to conduct the one- year inspection. LPA met with Edith Nagel , Administrator and the purpose of the visit was discussed. Facility is licensed to serve 6 non- ambulatory residents of which (1) maybe bedridden, and an approved hospice waiver for 4 resident. Currently Two (2) residents are diagnosed with dementia. Two residents are on hospice. No residents are receiving home health care services at time of this visit. The facility does not handle any of the residents’ money. This home is a single story home consisting of: (5) resident bedrooms, (4) Full bathroom, living room, kitchen , dining room, laundry room (located in the kitchen) and an outdoor shaded patio area. A fenced pool in the backyard was observed and was within Title 22 guidelines. LPA toured the Resident bedrooms and they had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place, water temperature measured at 108F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards; doorways were free of obstructions. Kitchen was checked and observed to be within Title 22 regulations. Perishable and non-perishable food supply was checked. All cleaning solutions, hazardous items, and medications were securely locked and inaccessible to residents. Smoke detectors were working properly and fire extinguisher was fully charged. Carbon monoxide detector was operational. First Aid kit was available. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises. Deficiencies cited under California Code of Regulations (Title 22, Division 6, Chapter 8), LPA observed the following deficiencies: -On 4/24/24 at 10:00 AM LPA reviewed staff files and found that all staff records were incomplete. LPA asked Administrator for required documents according to Title 22 and each staff file was incomplete including Administrators. Administrator stated she will have to find the documents.- An exit interview was conducted and a copy of Report and Appeal Rights provided.