Routine inspection·May 28, 2024

On 5/28/2024, Licensing Program Analyst (LPA) D. Ayers arrived unannounced to conduct a Required Annual Inspection. LPA met with Executive Director Tiffaney Santoro and announced the purpose of the visit. Administrator Certificate is current with renewal date 6/13/2025. LPA toured the facility inside and outside. All passageways and exits were clear and free from obstruction. Fire extinguishers had service tags dated within the last year, and the facility sprinkler system had been serviced. Facility staff maintain records of emergency drills, which are conducted monthly. LPA observed a sufficient supply of emergency food and water, which was properly stored. LPA toured the facility kitchen. Kitchen was clean and LPA observed a sufficient supply of perishable and nonperishable foodstuffs, which were stored properly. Common areas were clean, odor-free, and well-lit. Interior and exterior doors to facility pool area were securely locked. Outdoor areas were free from hazards and provided adequate seating for residents. LPA toured resident bedrooms and bathrooms. Bedrooms were clean and free from odor. Bathrooms were clean, contained secure grab-bars and non-skid mats, and fixtures were functioning properly. LPA reviewed facility emergency disaster plan. LPA reviewed a sample of staff and resident files. While reviewing resident files, at approximately 1:50pm, LPA observed that two residents, both diagnosed with dementia, did not have an annual medical assessment and reappraisal completed as required by Title 22 regulations. See attached LIC 809-D deficiencies cited in accordance with California Code of Regulations Title 22, Division 6. Administrator was provided with a copy of the report and appeal rights.