Routine inspection·February 14, 2024

On today's date, Licensing Program Analyst (LPA) LPA Rosie Quiroz conducted an unannounced visit for the purpose of conducting a required Annual inspection. LPA was greeted and granted entry into the facility by Caregiver 1 (CG1). LPA Quiroz called Licensee/Administrator (L/AD) Kim Bhatia and explained the nature of the visit. This facility is licensed to provide services to age range 60 and over, approved for six (6) Non-Ambulatory Residents of which 1 (one) may be bedridden in Room #3 only, and has a hospice waiver for five (5) residents. There are no residents in care receiving hospice care services at this time. There are no active COVID-19 cases in the facility at this time. Administrator Kim Bhatia has an Administrator Certificate with expiration date of 7/23/2023. (L/AD) Bhatia indicated pending renewal certificate and agreed to submit copy upon receiving AD certificate to CCL. LPA Rosie Quiroz along with (CG1) toured the interior and exterior of the facility. During today's inspection tour, LPA Quiroz observed four of four residents in care watching television in living-room area with staff supervision. LPA Quiroz interacted and interviewed with staff, residents and visitor during today's visit. During today's visit, LPA Quiroz reviewed 4 of 4 residents files, medication records and 2 of 4 staff records. (See LIC 9102 Advisory Note) The water temperatures were recorded to be between 106.6-109.2 degrees Fahrenheit. LPA Quiroz inspected resident’s bedrooms and appeared to be clean. Facility temperature in resident's bedrooms and throughout the facility was recorded to be within normal limits. LPA Quiroz observed the emergency and disaster and evacuation plan. Facility has a supply of emergency food, water and PPE in garage area readily available for staff and residents. LPA Quiroz toured the outside of the facility and observed seating in the backyard for residents and visitor's enjoyment in backyard area. During today's inspection visit, LPA Quiroz observed closet remodeling in room #3, this was verified with (L/AD) Bhatia via telephone. During today's visit, LPA Quiroz provided Consultation on Title 22 and Infection control with (L/AD) Bhatia via telephone. (See LIC 9102 Advisory Note) CONTINUED ON NEXT PAGE... CONTINUED...An exit interview was conducted with (L/AD) Bhatia via telephone and a copy of this report, LIC 811- Confidential names, LIC 9102 TVs were provided at exit.