Routine inspection·March 22, 2024

Licensing Program Analysts (LPAs) Claudia Gutierrez and Rose Ruppert made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPAs met with Health Services Director (HSD) Neha Patel and explained the purpose of the inspection. Executive Director (ED) Rose Calabrese arrived at 9:30 a.m. During the inspection LPAs, HSD, and ED conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, and observed the following: The facility consists of a two-story building complex for assisted living and an adjacent one-story building used for Memory Care. Delayed egress was tested and observed to be operational. All resident bedrooms had the required furnishings. LPAs observed all resident beds had linens and blankets. The facility has three courtyard areas, each with a shaded sitting area. LPAs observed residents in the facility common areas and resting in their respective bedrooms. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested between 113.7-120.9 F degrees. LPAs observed emergency disaster plan with means of exiting and emergency phone numbers listed. Food menu and activities calendar were posted and visible. LPAs observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke detectors are on a sprinkler system and inspected quarterly. Carbon monoxide detectors are located outside every resident bedroom and tested operational. At least two fire extinguishers are located along every hallway in the facility, and were observed to be fully charged with service tags dated October 30, 2023. Kitchen appliances, washer, and dryer were all observed to be operable. Sharps, all and any toxic chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to residents. Medication room was observed to be locked; however, over-the-counter medication was observed to be in Resident 1’s (R1’s) bathroom cabinet. R1 is diagnosed with dementia per Physician Report (LIC602A); a Deficiency was cited on today’s date. LPA reviewed eight resident files and five staff files. LPA interviewed five residents and five staff.(Cont. LIC809-C) Based on the observations made during today’s inspection, one deficiency is 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 was left at the facility.