Routine inspection·April 26, 2024

Licensing Program Analysts (LPAs) Bonnie Tao and Tyler Reyes conducted an unannounced annual inspection visit. LPA met with facility director, Hardie Lin and Licensee, Amber Branconier. The purpose of today's visit was discussed. The facility has a capacity of 120 residents. It is licensed to serve elderly residents age 60 and above, approved for 120 non-ambulatory residents of which 21 may be bedridden. The facility has five (5) Hospice Waiver on file. Annual licensing fees are current. During the visit, the CARE tool was used, physical plant/facility tour was conducted, food supply was reviewed, staff/residents’ files were reviewed, and medications were reviewed. The facility is located at the residential area. The premise is a two-story building with 60 resident rooms. Facility consists of Lobby/Reception Area, office, medication room, Activity Room, TV/Entertainment Room, Beauty Shop, Employee Room with lockers and time clock, laundry room, kitchen, and dining room. Residents' medications are centrally stored and locked in the medication room. LPA Tao inspected twelve (12) residents’ rooms. Resident bedrooms had furniture, lighting fixture and personal storage space as required. Mattress pads were observed on all beds. Bathrooms inspected were clean, operable, and furnished with the required grab bars and non-skid materials in the shower. Hallways were clean and free of obstructions. Common areas were well organized and free of hazards. Hot water temperature was in a range of 109.8 to 113.7 degrees Fahrenheit which was within Title 22 Regulation guidelines. Adequate linen and personal hygiene supplies were observed. Signal systems were tested in resident rooms and operational. Sufficient supplies of perishable and non-perishable foods were observed. Smoke detectors and carbon monoxide detectors were tested and operational. Fire extinguishers were fully charged. Auditory alarm devices at exits were working. Deficiencies were cited per California Code of Regulations, Title 22. See LIC 809D for details. An exit interview was conducted. This report and appeal rights were discussed and provided to facility Licensee, whose signature on this form confirm receipt of these documents.