Routine inspection·July 22, 2024

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA met with the Health Services Director Miriam Im and explained the reason for the visit. The facility is a two-story building with 82 resident rooms. The building has a central courtyard with outdoor shaded seating area. The facility has 2 dining rooms, a theater, fitness room and an activity room. Facility has a capacity of 110 non-ambulatory of which 12 may be bedridden and a hospice waiver for 12. LPA and the Health Services Director toured the facility. LPA observed the See Something Say Something poster posted next to the main entry door of the facility. There are 2 stairways which are both outside. LPA observed an evacuation chair at the top of each stairway. LPA observed the kitchen is clean and organized. The refrigerator and freezer are maintained at the required temperatures. LPA observed a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. The fire extinguishers in the kitchen are fully charged. LPA observed carbon monoxide detectors on each floor of the facility. All of the carbon monoxide detectors tested operational. The facility's fire protection equipment was inspected on November 21, 2023, no deficiencies noted. The delayed egress exit doors on the first floor are operational. LPA and Health Services Director toured the resident rooms. LPA observed that all the rooms inspected (6) had the required furnishings and bed linens. Hot water measured from 114.9 to 117.6 degrees Fahrenheit in all 6 six rooms. No obstacles or hazards observed inside or outside of the facility. The activity room has games and puzzles for residents. The theater has a large screen TV for residents to watch movies or TV. LPA reviewed 6 resident files and medications, no discrepancies observed. LPA reviewed 5 staff files. All staff members interviewed and encountered were background cleared and associated to the facility. LPA observed Staff 1 did not have the required initial training of 20 hours in their first 4 weeks of employment. Deficiencies are being cited per Title 22 division 6 of the California Code of Regulations. An exit interview was conducted and a copy of the report along with appeal rights was provided.