Routine inspection·September 27, 2024

At approximately 9:15AM, Licensing Program Analyst (LPA) Chris Arnhold made an unannounced annual required inspection of this licensed senior care facility. LPA met with caregiver Gerry Ofiza. At approximately 9:30AM, LPA toured the building and grounds which was found to be clean and in good repair. LPA observed all walkways and exits to be unobstructed. LPA observed facility did not have resident rights posted. The amount of fresh and nonperishable foods is within regulation. Facility kitchen, refrigerators and freezers were clean, and food was stored properly. Toxins are stored and not accessible. Water temperature measured within regulation between 105 and 120 degrees F at faucets accessible to residents. Fire extinguishers inspected were charged. Smoke detectors were found to be in working order. Carbon Monoxide detectors were present. There was enough lighting in all common areas, resident rooms, and hallways. LPA observed medication in small cups in a cupboard in the kitchen. The door to the cupboard was not secured. At approximately 10:00AM, LPA reviewed 3 of 3 resident records and found 3 of 3 residents did not have current care plans. 3 of 3 records contained current and signed admission agreements. There are currently no residents receiving Hospice services, however, 1 of 3 recently graduated from Hospice and there was no hospice care plan on file. At approximately 11:00AM, LPA reviewed 4 staff files. LPA did not find evidence of completed annual training in 4 of 4 files. LPA observed 3 of 4 staff had current First aid/CPR certification. Continued on LIC 809-C... At approximately 11:30AM, LPA reviewed the facility emergency disaster plan with staff. Facility has a generator to supply power during an outage. The plan outlines evacuation routes, which are shown on facility sketch and has alternative meeting locations. Facility has supplies enough to operate for more than 72 hours in an emergency. Staff were not able to explain what to do in an emergency. Facility has not conducted and documented a disaster drill. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: Current Lease Agreement or evidence of Control of Property LIC308- Designation of Responsibility LIC500- Personnel Report LIC610E- Disaster Plan Evidence of Liability Insurance 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 Gerry Ofiza and Appeal rights were given.