Routine inspection·November 1, 2024

On today’s date, Licensing Program Analysts (LPAs) Samer Haddadin and Alvaro Ramirez conducted an unannounced visit for the purpose of conducting a required annual inspection. LPAs met with Executive Director administrator (ED) Charles Marinko. This facility is licensed to provide services to residents age range 60 and over. Approved for 95 non-ambulatory residents, of which 12 may be bedridden and has an approved hospice waiver for 20 residents. At time of visit, facility had total of 85 residents in which 5 are currently on hospice. LPAs observed smoke detectors/carbon monoxide in common areas, hallways, and bedrooms; all were tested on August 22 , 2024, by Fire Safety Services Inc Fire. Fire extinguisher were fully charged with service tag indicating last inspection date was on November 13 , 2023. Fire drills are conducted quarterly with last drill conducted on September 30 , 2024. Residents’ bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Toilets and water faucets were observed to be operational, grab bars were secure. Water temperature was tested in first spa room and measured at 106.8 degrees Fahrenheit. The second spa room, on second floor, measured at 106.5 degrees Fahrenheit; Resident’s one (R1) restroom water temperature measured at 107.7 degrees Fahrenheit; Resident’s (2) restroom water temperature measured at 107.7 degrees Fahrenheit. On or about 9:41 AM, LPAs toured the kitchen area with ED and noticed multiple food items that were expired; one gallon of Reliance Heavy Duty Mayonnaise expired on September 24 , 2024; one gallon of Reliance Mustard expired on September 11, 2024. One gallon of Coleslaw Dressing expired on August 28 , 2024. LPAs checked for 2-day supply of perishable, 7-day supply of non-perishable foods and emergency water; all were observed in today’s visit. Kitchen appliances were observed to be operational with sharps and knives being inaccessible to residents in care. (CONTINUE LIC 809C)... LPAs toured the backyard of the facility and observed there was a shaded seating area and ample space for activities; all outside emergency exists were free of tripping hazards and or obstructions or barriers. LAPs observed exit stairwells and each floor had an evacuation chair. Toxins were locked and inaccessible to residents. Medications were locked and inaccessible to residents. First aid kit had all the required elements including bandages, tweezers, thermometer, scissors, and manual. LPAs reviewed 8 residents’ files and observed all files had all required documentation. LPAs also reviewed 4 staff files and observed all had the required documentation. Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report and appeal rights were provided to AD at end of inspection.