Routine inspection·June 21, 2024

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA was greeted by staff and granted entry. LPA met with Executive Director (ED) Lindsay Schroeder and explained the reason for the visit. Lindsay Schroeder's Administrator's certificate expires on January 21, 2025. Facility is a two story building with 2 courtyards (one on each floor) and surrounding parking lot. No bodies of water observed. Facility is approved for delayed egress exits and a secured perimeter. LPA and the Executive Director toured the facility. LPA observed the See Something, Say Something poster (PUB 475) posted in the entry way of the facility. LPA observed the kitchen is clean and organized. There is a two day supply of perishable food and a seven day supply of non-perishable food on-hand in the kitchen. LPA observed that the refrigerators and the freezers had temperature logs posted on them. The refrigerators and freezers were at the required temperatures. LPA and ED toured 5 resident rooms on the first and second floors. All resident rooms had the required furnishings and bed linens. All resident bathrooms were clean and operational. The hot water in the 5 resident rooms inspected measured 111.2 degrees Fahrenheit to 114.4 degrees Fahrenheit. LPA observed residents watching a musical performance in the dining room. There is an activity room with games and puzzles and a TV room for residents. There is an outdoor courtyard on each floor with shaded seating for residents to sit outside. There are fire extinguishers on each floor and all fire extinguishers are fully charged. LPA observed an emergency evacuation chair at the top of the stairwell. The last emergency disaster drill was conducted on April 25, 2024. The delayed egress exits tested operational. The fire alarm/fire detection system was inspected and tested operational on February 13, 2024. LPA observed medications are kept secured in a medication cart that is locked in the medication room. LPA observed that the First Aid Kit had all the required elements. LPA interviewed staff and residents. LPA reviewed 5 staff files with no discrepancies observed. All staff files reviewed had the required annual training. LPA reviewed 5 resident files. LPA observed that 2 out of the 5 resident files (Resident 1 and Resident 2) did not have a current medical assessment (LIC602A). LPA inspected 5 resident medications. No discrepancies observed. No obstacles or hazards were noted inside or outside of the facility. 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 Executive Director and a copy of the report provided along with appeal rights.