Routine inspection·January 30, 2024

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced visit to A Pericles Elderly Care Home. The purpose of today’s visit was to conduct the Annual Required inspection. LPA was allowed entry into the home and met with CEO Concepcion Jimenez. Facility is licensed for 6 non-ambulatory residents. Facility has an approved hospice waiver for 6 residents and the home currently has 4 residents present. There are three residents on hospice during today's visit. Luis Gaitan has an Administrator Certificate expiring on 05/06/2025. Administrator Lisa Branson arrived during the visit. LPA Lyman along with Concepcion Jimenez toured the facility at 9:07 AM. Facility appears to be clean, safe, and sanitary. LPA toured the physical plant, checked food service, and the first aid kit. The home consists of five resident bedrooms, one resident bathroom, one office area, one shared hall bathroom, staff room, living room, dining room, and kitchen. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured between 107.2 and 107.4 degrees F in all facility bathrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Resident hygiene and cleaning supplies are locked and inaccessible to residents. Common areas were clean and clear of hazards, doorways were free of obstructions. First aid kit had all the required elements including tweezers, thermometer, and scissors. During today's visit, auditory door alarms are operational. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. LPA observed sharps locked in a kitchen drawer. Smoke detectors and Carbon Monoxide detectors tested operational during today's visit. Fire extinguishers are fully charged. Kitchen appliances are operational during today's visit. LPA toured the outside grounds and there is ample shaded seating for residents. At 9:30 AM, LPA observed the exit gate is in need of repair (photo). LPA observed emergency water supply on-site. LPA reviewed the emergency disaster plan during the visit. Plan is thorough and complete. Facility provided documentation of last fire drill conducted on 11/12/2023. Facility provides activities in the form of games and exercise. CONT ON LIC 809C DATED 01/30/2024. At 10:00 AM, LPA reviewed five resident files and four staff files. Resident files contained required documents including admission agreements, physician reports and resident appraisals. Staff files reviewed contained required documentation of health screen/TB, and criminal record clearance. Three out of four staff do not have proof of training in the file. At 10:30 AM, LPA reviewed medication storage and administration. Medications are stored in a locked cabinet and are audited weekly by staff. Medications are being administered per physician order. Based on the observations made during today's visit, the following violations are being cited per California Code of Regulations, Title 22, Division 6, Chapter 8. An exit interview was conducted and a copy of this report as well as appeal rights were discussed and provided with facility representative.