Non-compliance follow-up·January 19, 2023

Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced on 1/19/2023 to conduct a Case Management Legal/Non-Compliance visit. LPA was greeted by staff and screened before entry into the facility and logged in to the Visitor's Log. LPA met with Ric Pielstick, Administrator, and then went to inspect Traditions (Memory Care). Traditions has a new director, who is already setting up several training sessions. The memory care unit was clean and orderly and a comfortable temperature of 71 F. Residents' rooms varied by several degrees, depending on personal preference. Toxins were secured and not accessible to residents. Each room has a locking cupboard for storing toxins and soaps, making them inaccessible to residents. There were four (4) care staff in Traditions at the time of inspection, as well as one Activities Director, one Med. Tech. and the Traditions Director. Staffing in Traditions was adequate at the time of inspection. LPA toured the kitchen, dining room and lounge area and found the area clean and orderly. The Lounge has beer and wine, which is locked and inaccessible to residents. The Outdoor Courtyards were clean and inviting, despite all the recent rains, residents had a safe, dry space to access outside. LPA reviewed eight (8) Resident files, which were complete and up to date. All staff present at the facility were fingerprinted and associated. During this inspection, LPA followed up on an incident report that was submitted on 11/26/2022 which involved a medication error which occurred on 11/25/22 at 10 AM. The staff member (S1) recognized the error and contacted the physician and family. (Continued on 809-C) (Continued from 809) During this inspection, LPA followed up on an incident report that was submitted on 11/26/2022 which involved a medication error which occurred on 11/25/22 at 10 AM. The staff member (S1) recognized the error and contacted the physician and family. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. This report was reviewed with Administrator and Appeal rights were given.