Pre-licensing visit·August 16, 2022

Licensing Program Analyst (LPA) Joe Katrdzhyan conducted an announced follow up to the pre-licensing inspection conducted on 7/12/22. Upon arriving at the facility, LPA met with Executive Director / Hector Vargas who assisted with the visit. Licensee / Climb Inc., has submitted an application to operate a Residential Care Facility for the Elderly for a capacity of forty (40) residents, ages 60 and over. The facility has an approved fire clearance for thirty (30) ambulatory residents and ten (10) non-ambulatory residents only. Fire clearance was granted on 7/1/22. The new application is being processed as a change of facility type. There are currently thirty-eight (38) residents living at the facility. Licensee prefers to serve Developmentally Disabled Blind Residents. Climb Sierra Madre RCFE does not have an approved Dementia Care Plan in their plan of operation and will NOT be accepting or caring for residents with dementia. During the initial pre-licensing inspection conducted on 7/12/22, the following concerns were observed; The hot water temperature was tested throughout the facility and did not meet California Code of Regulations Title 22. The hot water temperature in room #12 was measured at 124.6 degrees F. The hot water temperature in room #24 was measured at 123.5 degrees F. The hot water temperature in room #40 was measured at 132 degrees F. The Executive Director was asked to ensure that the hot water temperature is maintained between 105 degrees F - 120 degrees F throughout the facility as required and submit a log for the next 24 hours showing the actual reading in rooms #12, #24 and #40. On 7/13/22, the Executive Director submitted a 24 hour log, showing the hot water temperature was adjusted in rooms #12, #24 and #40 and the reading was in compliance. Also, during a walk through of the facility, LPA Katrdzhyan observed that the facility was not equipped with a signal system. Title 22 Regulations Section 87303 / Maintenance and Operation states; (i) Facilities shall have signal systems which shall meet the following criteria. (1) All facilities licensed for 16 or more and all residential facilities having separate floors or buildings shall have a signal system which shall: (A) Operate from each resident's living unit. (B) Transmit a visual and/or auditory signal to a central staffed location or produce an auditory signal at the living unit loud enough to summon staff. (C) Identify the specific resident living unit. During today's visit, LPA toured the facility and tested the signal system installed in all resident rooms (with the assistance of the Executive Director) and the signal system was observed to be operational and in compliance with Title 22 Regulations Section 87303 / Maintenance and Operation. The signal system was installed on 8/3/22. No further action is needed at this time. An exit interview was conducted and a copy of this report was provided to the Executive Director.