Routine inspection·December 14, 2024

On 12/14/24, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Hospitality Director Paola Carrillo who contacted the Executive Director Myra Aragones by telephone. LPA Dabuet explained the purpose of today’s visit. The facility is licensed to operate for (250) non-ambulatory, of which (10) may be bedridden elderly adults ages 60 and above. The facility is approved for (20) hospice residents. Currently the facility has (164) assisted living residents, (30) residents in memory care, and (6) hospice residents. The facility is a three-story structure located in a commercial neighborhood. It consists of the following: (211) resident bedrooms, (211) resident bathrooms, med rooms, a conference room, dining rooms, a laundry room, a mailroom, business offices, a commercial kitchen, a movie theater, (3) multi-purpose rooms, (8) storage rooms, (13) public restrooms, courtyard patio area, a salon, an exterior pool, an employee lounge, and rooftop with art & crafts room, sun room area and lounge. LPA Dabuet and Maintenance Director David Deger 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: #106, #112, #127, #132, #250, #274, #373 and #381. Emergency call buttons were in working condition. Bathrooms were operational with water temperature measured at 105.2 – 110.1 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. (Evaluation Report continues LIC 809-C) 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 with records of 10/17/24 being the last drill. Facility fire cleared approved for delayed egress exits. Facility has delayed egress exit doors in memory care all operable condition. 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-#7 (R1-R7) out of (194) service files, and staff #1-#7 (S1-S7) out of (142) personnel files were complete. A review of the Medication Records Administration (MAR) was observed to be maintained in order and accurately. The facility is current in CCLD annual fees. The administrator certificate for Myra Aragones #7008607740 effective 10/01/2023 - 09/30/2025. The facility has a Liability Insurance Certificate valid with policy # NSC1000498 effective 06/01/24 – 06/01/25. DEFICIENCIES : Criminal Clearance Transfer Association for staff #8. No Criminal Clearance Transfer Request LIC 9162 on file or included on CDSS Guardian Background System as being associated. Staff #7 did not have current CPR/First Aid Certificate on file last CPR expired 10/2024. 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 Myra Aragones, 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. *