Routine inspection·March 28, 2022

Licensing Program Analyst (LPA) Patricia Velazquez conducted an unannounced visit to Rossmoor Sunshine Villa-Foster. The purpose of today's visit was to conduct a Required 1 Year inspection. LPA Velazquez was allowed entry into the facility and met with Assistant Administrator (AA) Flormine Resurreccion. Caregivers Estelita Abella and Virginia Maaghup were also present. The facility is licensed for 6 non-ambulatory residents of which 1 may be bedridden. The facility has a Hospice waiver for 4 residents. There are currently 4 residents living in the facility but a 5th resident was being admitted during the visit. The last emergency disaster drill was conducted on February 6, 2022. LPA Velazquez observed the Complaint poster was not the correct size pursuant to regulation and advised AA to obtain the Complaint poster in the correct size of 20" x 26." At 11:00 AM LPA Velazquez conducted a tour of the physical plant along with AA Resurreccion. The 1 story home consists of 5 resident bedrooms with 4 bathrooms. There is 1 staff bedroom. The facility also has a living room, family room, dining room, and kitchen. The 4 residents in the facility appeared well-groomed and well cared-for. The resident bedrooms had the required furnishings, bed linens, and closet/drawer space to accommodate each resident comfortably. LPA Velazquez observed bed rails in the resident bedrooms. AA Resurreccion indicated there were written physician orders for the bed rails present in the resident files. Resident bathrooms were checked. Resident bath towels and personal hygiene supplies were adequately stocked. Toilets and water faucets worked properly, grab bars were secure, showers were free of mold/mildew and a non-skid surface or mat was in place. LPA Velazquez tested the hot water temperature in the resident bathrooms and the temperature measured at 109.4 degrees Fahrenheit in the first bathroom, at 109.5 degrees Fahrenheit in the second bathroom, at 112.4 degrees in the left sink and at 112.4 in the right sink of the third bathroom, and at 114.9 degrees Fahrenheit in the fourth bathroom which AA Resurreccion verified. LPA Velazquez inspected the kitchen along with AA Resurreccion. Perishable and non-perishable food supply was checked and adequately stocked at the time of the visit. AA Resurreccion informed LPA Velazquez that the dishwasher was inoperable. The fire extinguisher was fully charged. The smoke and carbon monoxide detectors were tested and found to be operational. Medications, toxins and sharps were locked and inaccessible to residents. The auditory alarms throughout the facility were in operating condition. LPA Velazquez observed the presence of cameras in the common areas of the facility. First Aid kit was checked and found to be in order. The facility did have a First Aid manual dated 2011 and LPA Velazquez advised AA Resurreccion to obtain an updated First Aid manual. LPA Velazquez along with AA Resurreccion toured the outside grounds. There were no bodies of water present. There was shading and sufficient seating for residents. Walkways around the home were clear of hazards and the exit gate was operational. There were no security bars or weapons on the premises. No resident or staff files were reviewed at the time of this visit. LPA Velazquez informed AA Resurreccion to ensure a written physician's order indicating the need for the bed rails is present in a resident's file pursuant to Title 22 Regulation Section 87608 Postural Supports which LPA reviewed with AA Resurreccion. Deficiencies cited under California Code of Regulations Title 22, Division 6, Chapter 8. An exit interview was conducted with Assistant Administrator Maria Tavarez and a copy of this report along with the appeal rights, and a copy of the LIC 9098 were provided at the time of this visit.