Routine inspection·July 10, 2024

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA met with Administrator Esther Rey and explained the reason for the visit. LPA and the Administrator toured the facility. LPA observed and measured the See Something, Say Something poster (PUB 475) and it measured 14 1/2 by 22 inches. LPA observed the living room fireplace is screened. The living room has couches and chairs for residents or visitors to sit. There is a large screen TV mounted above the fireplace. LPA observed a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. The fire extinguisher in the kitchen is fully charged. LPA observed medications are kept locked in a cart in the kitchen. LPA observed knives are kept locked in a kitchen cabinet. LPA and the Administrator toured the facility. LPA observed all resident bedrooms had the required furnishings and bed linens. Smoke detectors/Carbon monoxide detectors tested operational. The facility has two stories. The second floor is for staff only and no residents live on the second floor. LPA did not observe an evacuation chair. The garage is used for storage and kept locked. Hot water measured 113.0 degrees Fahrenheit to 116.9 degrees Fahrenheit in the 2 bathrooms downstairs. During the visit the facility had multiple AC units running to keep the facility temperature at 79.0 degrees Fahrenheit. LPA and the Administrator toured the backyard. LPA observed a tortoise, a dog, 6 birds in 3 cages and 2 chickens in a chicken coupe in the backyard. LPA observed old bed rails, bikes, ladders and plants on each side of the house leading to the exit gates. The items obstructed the path to both exit gates. Both exit gates are operational. No bodies of water observed in the backyard. There is a table with an umbrella and chairs for residents to sit outside. LPA observed a shed in the backyard. The shed is kept locked and used for storage. There is a covered patio in the backyard which has exercise equipment. LPA reviewed 5 resident files and 5 resident medications. LPA observed Resident 1 (R1) only had 2 out 5 of their prescribed medications on hand in the facility that were listed on their medication administration record (MAR) for July 2024. LPA reviewed 4 staff files, no discrepancies observed. LPA inspected the first aid kit, the first aid kit has all the required elements. Deficiencies are being cited per title 22 Division 6 of the California Code of Regulations on the attached LIC 809D. An exit interview was conducted with the Administrator and a copy of the report provided along with appeal rights.