Routine inspection·February 28, 2025

Licensing Program Analyst (LPA) Christian Gutierrez conducted the annual inspection using the Compliance and Regulatory Enforcement (CARE) tools. LPA met with Executive Director Michele Johnson at approximately 8:00 AM and explained reason for visit. The facility is a two-story building with a memory care unit, operating as a Residential Care Facility for the Elderly. It is licensed to serve (148) older adults, ages 60 and over. There is a fire clearance approved for (148) non-ambulatory residents, of which (6) may be bedridden, and includes bedridden rooms approved on both first and second floors and delayed egress. There are currently (10) residents receiving hospice care. It has an approved Dementia Care Plan and a Hospice Waiver approved for (10) residents. LPA observed random resident bedrooms to have the required furniture, sufficient lighting, and closet/storage space. Resident bathrooms and shower rooms are equipped with required grab bars and non-skid mats. The hot water temperature in the bathrooms were measured between the required range of 105-120 degrees F. The facility has a commercial kitchen. Sufficient supply of 2 days perishable & 7 days non-perishable foods was observed in the kitchen. Fire extinguishers were observed throughout, with current inspections and were fully charged. All sharps and cleaning supplies/toxins were observed to be locked and inaccessible to residents in care. The call system was tested in resident bedrooms and were operational. The facility is equipped with surveillance cameras in common areas. One water fountain was observed in the center of the assisted living side, courtyard; however, it contained a small amount water. There is a shaded seating area for the residents located. Passageways and exits are free of obstruction. SEE LIC 809c Seven (7) staff files were reviewed and included Criminal clearance record, CPR/training, and health screening with TB. Ten (10) residents files were reviewed and included physicians report, TB clearance, and appraisal needs and service plan. Last fire/earthquake drill was conducted in February of 2025. Infectious control plan was reviewed. Three (3) staff and six (6) residents were interviewed. Random resident medications were reviewed. Medications are centrally stored and locked MAR log is used. LPA observed R11 medication missing Deficiency cited. Per California Code of Regulations, Title 22, and California Health and Safety Code, the deficiencies observed during the visit are documented on the LIC809Ds. Exit interview held and a copy of the report along with appeal rights were provided.