Routine inspection (multi-day)·October 3, 2024

10/03/2024 at approximately 9:20am, Licensing Program Analysts (LPA) Loera arrived unannounced to continue an Annual Required inspection that was initiated on 09/04/2024, and was greeted by Business Manager, Karina Vasquez. At approximately 10:15am, LPA and Business Manager toured the building and grounds. The facility was found to be at a comfortable temperature. LPA observed a 2 day supply of perishable and 7 day supply of non-perishable food. Refrigerated and freezer food was found to be stored in facilities kitchen walk-ins being labeled and dated. Facility has 4 floors with the first and second floor being designed for Memory Care and floor three and four being designed for Assisted Living. Facility has many common areas including offices, a gym, a salon and activity room. LPA observed an activities calendar for residents to participate. Water temperature in sinks accessible to residents in care were measured within the range of 113.1 and 114.9 which is within 105 to 120 degrees F. Fire extinguishers were last inspected September, 2024. Smoke/Carbon Monoxide detectors are hardwired and located throughout the facility. Medications were found to be centrally stored. LPA conducted spot medication count and found all prescription medication to be properly recorded on the Centrally Stored Medication Record. At approximately 11:20 am, LPA conducted review of 8 staff records/training. Upon a review of staff records, LPA found all staff to have required annual and initial training as well as current 1st Aid & CPR certification on file. At approximately 12:45 am, LPA conducted a review of 7 resident records. All records had the required documentation. continued on LIC809-C During inspection LPA followed up on elopement that was self reported to community care licensing (CCL) on 08/16/2024 stating that on 08/11/2024, Resdient ! (R1) had eloped from the community around 7:05pm. Report states Memory Support alarmed doors notified staff that a resident had eloped from Memory Support Unit. Report states staff did a head count and began searching for missing resident and was found around 7:30pm walking outside of community grounds in a nearby neighborhood. Report states R1 was returned back to the community and was put under one on one supervision. (Deficiency Cited) See LIC809-D for Deficiency. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report LIC308- Designation of Responsibility Emergency Disaster Plan (review) Infection Control Plan (review) Exit interview conducted with Business Manager and a copy of this report was provided .