Routine inspection (multi-day)·September 25, 2023

Licensing Program Analyst (LPA) Ashley Calderon, made a unannounced annual continuation case management visit. LPA met with interm-Administrator Claudia Sanchez and discussed the purpose of today's visit. The facility is licensed to serve: Elderly residents ages 60 and over. Approved for (48) ambulatory residents and (32) non-ambulatory residents. (7) non-ambulatory can be bedridden. Bedroom # B1,A2,4,5,8,9,12 are cleared for bedridden residents. LPA used the CARE Inspection Tool for the required one year annual inspection. Today's inspection consisted of: LPA Calderon along side with Interm-Administrator toured the inside and outside of the facility. The facility consist of: Random resident bedrooms and bathrooms were observed: Room #4, Room B-1A, Room B-1B, Room #6, Room #25 and Room #33. Resident bedrooms were equipped with a bed, chair, night stand, adequate lighting and ample closet/storage space for each resident. Appropriate linens and towels were observed and extras stored in hallway closet in the main building. Laundry room with washers and dryers were observed. Bathrooms are clean and operational with non-skid mats. Water tested within Title 22 regulations, measuring between 105F to 120 F. Appropriate food supply of two days of perishables and seven (7) days of non-perishables. Thermometers in place, kitchen appliances were operable and food menu in place. Sharps are locked in the kitchen, kitchen is inaccessible to resident in care. Continuation on 809-C... Resident and staff records are centrally stored and locked in the Executive Director's office. Functioning telephone on the premises. Cleaning solutions, disinfectants, and chemicals were left out in the cleaning cart found unattended near building B, cleaning products were found accessible to residents in care. Deficiency noted. Emergency Disaster Plan, Personal Rights, Labor Laws, Licensing and Ombudsman and Facility Sketch were observed posted. Facility has storage room with code lock located in dining room area with hygiene supplies and cleaning product supplies kept locked. Fire place kept adequately screened. Fire extinguishers charged and placed throughout the facility, fire alarm pull system connected to the Fire Dept of Monrovia, smoke detectors and carbon monoxide tested and operable. Fire Drill conducted on: 6-16-23. Outside areas was observed to have multiple areas with shade and maintained landscaped. LPA observed patio deck containing (4) ripped chairs and ladder left in patio leading to the roof top. Shed with storage items, shovel and oxygen tanks left unlocked and accessible to clients in care. Facility has spider webs and dirt on railings, in the patio roof awnings in Building B and patio next to dining room. Outside patio has spider webs, dirt and debris on outside furniture(s) chairs, bbq, table and awning. Deficiency noted. Facility liability insurance expires: 8/26/2024. LPA will returned on a later date to complete annual inspection facility. Deficiencies were cited on 809-D, this report was provided to interm-Administrator Claudia Sanchez. An exit interview was conducted and appeal rights were provided.