Routine inspection (multi-day)·November 30, 2023

Licensing Program Analyst (LPA) Cynthia Chan conducted a subsequent visit to finish the annual inspection. LPA met with Administrator, Christina Matsumoto, to explained the reason for the visit. LPA continued the inspection using the CARE tools. The following domains were reviewed: Staffing : The facility has sufficient staffing to meet the needs of the residents. There are awake staff providing night supervision in both assisted living side and the memory care unit. Personnel Records-Training : LPA reviewed 5 Staff files. The administrator's (Christina Matsumoto) certificate expires on 7/25/25. Staff have fingerprint clearance and associated to the facility. Staff have appropriate dementia care training and ongoing training. Resident Records-Incident Reports: LPA reviewed 5 resident files. The files contain the admission agreement, medical assessment with TB results, consent forms, property valuable form, and pre-appraisal form. Resident Rights-Information : Information for appropriate reporting agencies are posted at the facility. Residents' rights are respected and implemented by staff. Incidental Medical & Dental: The medications are centrally stored in the wellness office. The facility uses an electronic Medication Administration Record (MAR) log to document medications given. LPA reviewed 5 residents' medication and they are being administered as prescribed by the physician. Residents with Special Health Needs : Facility accepts and retain residents with dementia. Staff are ensuring that incontinence residents are changed often and the facility remains free of odor from incontinence. No smoking-Oxygen in use signs are posted where appropriate. The facility has approved delayed egress on 3 of the exterior gates. No deficiencies are issued today. A technical violation is provided on the LIC9102 form. An exit interview was held and a copy of this report was given to Administrator Matsumoto.