Routine inspection·December 5, 2024

LPA toured the inside and outside of facility with (AD) and observed the following: The facility is a 4-bedroom, 2-bathroom, 1-story house with detached garage that is being used for storage. Resident Bedrooms: the 3 resident bedrooms are spacious and have all required furniture per regulations: Lights, chairs, linens, and storage for each resident bedroom. LPA found a pair of scissors, Skintegrity Spray for wounds and Clorox disinfectant wet napkins in one of the resident’s rooms. AD immediately removed and locked the items. The fourth bedroom is for staff and also had all required elements per regulation. LPA toured the kitchen and observed grease and left over oil splashes on stove and around the oven; stove had five burners and only 4 worked due to grease and oil being stuck. AD tried to clean stove and was unable to make the burner work. 7 kitchen drawers were loose and not intact in place. LPA checked restroom one and observed chipped paint in the shower area. Shower had a glass door which had mold and mildew around the rim and edges of the door. LPA checked water temperature and it was tested between 109.9 and 110.9 Degree Fahrenheit. LPA checked Carbon Monoxide, Smoke Detectors and all tested operational. Fire Extinguisher was in the green, fully charged, and last checked on July 17 th , 2024. LPA checked food sully and the facility had the 2 days perishable and 7 days nonperishable food supply per regulation. LPA toured the outside of the facility and observed a shaded area with chairs and space for residents’ activities and enjoyment. LPA found full bottle of Windex, and Clorox in a blue bucket and accessible to residents in care. During record review, LPA observed that fire drills are conducted monthly. Staff records showed all required documentation including valid CPR.(..CONTINUE 809C....) LPA checked three residents’ file and observed that 2 out of 3 residents had dementia and none had a recent physician report: Resident (R1) last physician report was 8/14/23 and R2 physician report was 06/08/2023. Based on the observation made during today’s visit, deficiencies are being citied today in the areas inspected per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report was provided to the AD.