Routine inspection·June 12, 2024

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of conducting the Required Annual Inspection. LPA was greeted and granted entry by facility caregiving staff after explaining the purpose of the visit. Facility administrator Shelly Yamashiro was notified by telephone and arrived later to assist. During the inspection, LPA and facility staff conducted a tour of the physical plant and observed the following: The facility is a one story home with two private rooms, two shared room and one staff room in addition to the facility's common living areas. All resident bedrooms have the required furnishings. LPA observed all beds have linens and blankets. The backyard has a shaded area and the routes of egress are free of clutter and obstructions. There are currently six residents admitted to the facility with two residents receiving hospice care. Residents are observed to be clean and appear well taken care of. Bathrooms faucets and toilets were operational. Water temperature was verified to be within acceptable range. LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed and posted. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required. Combined smoke and carbon monoxide detectors tested operational. Fire extinguisher present is observed to be fully charged with up-to-date maintenance. During the tour of the physical plant, potentially dangerous items such as bleach and insecticide were observed to be accessible and later secured by staff, resulting in deficiency being cited. The medication central storage was also observed to be secure and reviewed for accuracy during the visit. LPA reviewed six resident files and seven staff files as well as conducted two staff and two resident interviews. Based on the observations made during today’s inspection, one type A deficiency is being cited per Title 22 Division 6 of the California Code of Regulations along with three technical advisory notes. An exit interview was conducted, and a copy of this report along with appeal rights was left at the facility.