Routine inspection·November 13, 2024

On this day, Licensing Program Analysts (LPA) Kevin Saborit-Guasch and Nancy Guillen made an unannounced visit to the facility for the purpose of conducting the required annual inspection. LPAs were greeted and granted entry after introducing themselves and the purpose of the visit to front desk staff. Executive Director Bob Fiorentino was notified of the visit via telephone and arrived later to assist with the visit. LPAs requested and reviewed the facility's resident census, staff roster, Emergency and Disaster Plan, Infection Control Plan, staff records including training records from Relias. A sample of fifteen staff records and fourteen resident records were reviewed during the visit. There are 144 residents admitted at the time of the visit, six of which are receiving hospice care. 26 of these 144 residents are admitted to the Memory Care unit. Resident and staff records were confirmed to include all necessary components per Title 22 regulations. One concierge staff member was however found to be missing a background check altogether. Type A citation and civil penalty issued during the visit. The facility is a seven-story building (including the lower level or basement) organized around a central coutryard. LPAs accompanied by administrator and facility maintenance staff conducted a tour of the interior and exterior of the physical plant. A total of thirteen units out of a total of 91 were visited and reviewed throughout the facility. Rooms were observed to be equipped with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Bathrooms were observed to be in good repair; and provided with grab bars and non-skid floors and tiling. Hot water was measured in a total of fifteen locations at faucets delivering hot water for grooming purposes. Water was systematically observed to be within the acceptable temperature range. CONTINUED ON FORM LIC809-C CONTINUED FROM FORM LIC809 LPAs and staff additionally toured the facility kitchen. Facility met the minimum two day perishable and seven day non-perishable food stock requirements. Emergency food and water supply observed in the basement food storage. Medications, cleaning supplies, and sharp items were inaccessible to residents in care in the memory care unit. LPA reviewed the physician orders and contents of one of the facility's medication cart. Sprinkler system and fire safety systems were inspected on November 28, 2023 and November 12, 2024. For the exterior portion, facility has a central courtyard with multiple patio and ample quantity of outdoor furniture and activity materials. The routes of egress were free of tripping hazards and the exit gates were self-latching and functional. Proof of liability insurance for the period of 09/01/2022 until 09/01/2023 was provided however due to a recent change of insurance provider, licensee was unable to provide current documentation during the visit and will provide the required documentation at its earliest convenience. One type A deficiency is cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report was left at the facility.