Routine inspection·December 7, 2024

On 12/07/24, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Med-Tech Nisha Korala who contacted the Administrator Taylor Clark by telephone. LPA Dabuet explained the purpose of today’s visit. The facility is licensed to operate for (84) ambulatory, of which (44) non-ambulatory elderly adults ages 60 and above. The facility is approved for (20) hospice residents. Currently, the facility has (1) resident in hospice care. The facility is a two-story structure located in a commercial neighborhood. It consists of the following: (42) resident bedrooms, (42) resident bathrooms, a med room, a conference room, a dining room, a laundry room, business offices, a kitchen, (3) storage rooms, a staff bathroom, outdoor patio, a salon, and an employee lounge. LPA Dabuet and Clark toured the physical plant. There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the resident's personal belongings was observed. Bed linens, comforters, and bath towels were stocked during the visit. The resident rooms were inspected: #152, #159, #164, #174, #203, #206, #214 and #218. Bathrooms were operational with water temperature measured at 105.2 – 107.9 degrees F. A comfortable temperature was maintained in the facility at 70 - 74 degrees F. LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected, and sufficient perishable and non-perishable food was maintained adequately. Fire extinguishers were charged, and smoke detectors and carbon monoxide were operable in each resident's room. Disaster Drill/Evacuation Drill/Fire Drill are conducted monthly with records of !1/12/24 being the last drill. A review of the Medication Records Administration (MAR) was observed to be maintained in order and accurately. During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas and restrooms. All mandated inspection control posters were posted including Activities Calendar and Food Menu. LPA conducted an audit of resident #1-#6 (R1-R6) service files, and staff #1-#6 (S1-S6) personnel files were maintained. The facility is current in CCLD annual fees. The administrator certificate for Taylor Clark #6013718740 2/8/2023 - 3/8/2025. The facility has a Liability Insurance Certificate valid with policy #B1881S240359 01/01/24 -01/01/25. The facility as current Surety Bond. DEFICIENCIES : · Resident #7 and #8 (R7-R8) are administered diabetic injection insulin daily by a non-appropriately skilled professional. · Criminal Clearance Transfer Association for staff #1-#5 (S1-S5). No Criminal Clearance Transfer Request LIC 9162 on file or revealed on CDSS Guardian Background System. · Staff #2-#5 (S2-S5) did not have current CPR/First Aid Certificate on file. · Room #164 had a sink cabinet door broken/require repair. · Room #174 and #218 had sharp scissors accessible to residents in care. · Room #206 had cleaning powder bleach accessible to residents in care. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), the following deficiencies has been observed and citation issued (ref. LIC 809-D). An exit interview conducted with the Taylor Clark, and a copy of the report is provided. Note: *Citations not cleared by the due date will be a $100 fine assessed for each citation until it is cleared. Civil penalties will continue to accrue until Proof of Corrections (POC) are cleared. *