Routine inspection·March 27, 2024

This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of conducting a Required – 1 Year Inspection. LPA met with Assistant Administrator (AA) Anna Jung and discussed the purpose of the inspection. Administrator (AD) Erik Doan arrived during the inspection. LPA reviewed Infection Control requirements. At about 10:00AM, LPA and AA conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, and medication room and observed the following: Structure: this is a large commercial facility. Facility is a 170-bedroom, 180-bathroom, 3 story building. There is 1 large patio with patio covers for the residents. Resident Bedrooms: the 10 resident bedrooms inspected are spacious and will easily accommodate the residents’ furnishings. Furniture for 10 resident bedrooms inspected. Bathrooms: the bathrooms were clean, faucets and toilets were operational. Water temperature: tested between 105 degrees F and 118 degrees in the 10 resident bathrooms inspected. Linens & Hygiene Supplies: new linens and fully stocked linen closets were observed. Emergency Phone Numbers, Exit Plan & Menu: reviewed. Food Service: LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food is available as required by regulations. Carbon Monoxide, Smoke Detectors, Fire Extinguisher: observed. Appliances: stove burners, microwave, washers, and dryers inspected. Knives: observed locked in the kitchen. Toxins: observed locked in the storage rooms. Medication room: observed to be locked. First-Aid Kit and Activity Supplies: observed and available. The facility’s licensing fees have not been paid. At about 1:00PM, LPA reviewed 10 resident files, interviewed 10 residents and 5 staff, and inspected medications for 10 residents. Facility does not handle resident money. CONTINUED During the inspection, LPA and AA observed the following: R1 moved in on 01/13/24 but the facility still does not have a Physician's Report for R1; the facility has not been conducting emergency disaster drills; and the licensee did not ensure their licensing fees were paid and has a past-due balance. The facility’s staff files were not available during the inspection and a technical violation was issued. Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. See LIC809D. Civil penalties for repeat violations are being assessed. See LIC421FC. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative.