Routine inspection·July 20, 2023

On 7/6/2023, Licensing Program Analyst(LPA) D. Ayers arrived unannounced at the facility to conduct a Required Annual Inspection. LPA met with Manager Maria Knight and announced the purpose of the inspection. LPA toured the facility inside and outside. Smoke-detectors and carbon-monoxide detectors were present and operational. Facility was clean and odor free. LPA observed sufficient amount of perishable and non-perishable foodstuffs. Common areas were clean, adequately furnished, and adequately lit. Resident bedrooms were clean and had required minimum furnishings. Resident bathrooms were clean, odor free, and water temperature was within required temperature range. Sharp items were secured in a locked drawer. A locked cabinet was observed to store resident medications. LPA reviewed facility plan of operations and emergency disaster plan. LPA reviewed a sample of resident files. The following deficiencies were observed during the inspection: three exterior doors were locked due to dementia residents being a risk to exit the facility, one out of five resident files did not include an admission agreement, one out of five resident files did not include a physician's report, staff were utilizing full length bed rails for a resident who was not on hospice care, and staff were not documenting doses of a PRN on one out of five residents' medication administration records(MAR's). See attached LIC 809D's for five type B citations issued in accordance with Title 22, California Code of Regulations. CCLD requested the following documents to update the facility file: LIC 500 Personnel Report, LIC 308 Designation of Administrative Responsibility, LIC 610-E the Emergency Disaster Plan, LIC 9020 Regirtser of Facility Residents, and a copy of current Administrator’s Certificate. Exit interview conducted. A copy of the report and appeal rights was provided.