Routine inspection·November 18, 2024

Licensing Program Analysts (LPAs) Rose Ruppert and Fred Arias made an unannounced visit to the facility today to conduct an Annual Required Evaluation. LPAs were greeted and granted entry by Staff #1 at 8:15 AM. During today’s visit, LPAs met with Novac Sofroni, Administrator (AD). The facility is a two-story, ten bedroom, nine bathroom residential building with an approved fire clearance of six non-ambulatory residents of which six may be bedridden and two are approved for hospice. The facility currently has a census of six residents in care of which two residents are on hospice. During today’s visit, LPAs toured the facility and inspected the physical plant, including but not limited to testing all smoke and carbon monoxide detectors, testing hot water temperatures in four of four resident bathrooms, and testing auditory devices on all exits . The hot water temperatures measured between 105.6 and 118.5 degrees Fahrenheit and all smoke and carbon monoxide detectors were operational . LPAs observed the PUB 475 "See Something, Say Something" poster was not 20" X 26." The fire extinguisher is charged and was serviced on November 2023. AD purchased new fire extinguishers during our visit. The facility’s last fire drill was conducted on June 1, 2024 . LPAs inspected the facility food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand. LPAs observed medication storage and reviewed the centrally stored medications. Per review of medications it is not clear if medications are being given as prescribed. LPA reviewed three of three staff training and fingerprint records and conducted a complete review of resident records. LPAs interviewed alert residents regarding their quality of care and spoke to staff present regarding care provided. LPAs confirmed that administrator has a current administrator certificate which expires on June 26, 2025. (Continued on LIC 809-C) (Continued from LIC 809) The following deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with Novac Sofroni, Administrator and a copy of this report was given to the facility along with a copy of the LIC 858, LIC 859; LIC 809-D, LIC 9102-TVs and Appeal Rights.