Routine inspection·January 29, 2025

Licensing Program Manager (LPM)- Laura Munoz, Regional Manager - Alycia Rayner ,Licensing Program Analyst (LPA) -Talwinder Bains arrived on 01/29/25 to conduct the annual inspection. CCL staff met with Administrator, Karla Nesbitt and explained the purpose of today's visit. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. Staff reviewed medications of four (4) residents comparing with physician orders . Staff reviewed four (4) residents files and two (2) staff files and found all required paperwork. Staff and Administrator toured the facility together to ensure the health and safety of residents in care. The areas toured included resident rooms, bathrooms, kitchen, and common areas and outside area. The food supply is within compliance, 2 days of perishable and 7 days worth of non-perishable food items. Grab bars were present at the toilet and in the shower. All exits were unobstructed. There is a side gate for emergency access. LPA checked the kitchen area for the ability to prepare and store food. LPA observed the area used for medication to be locked and inaccessible to residents. LPA observed smoke detectors and carbon monoxide detector at the care home are operational. Hot water temperature was observed to be 112 degrees F, which is within the regulation range of 105-120 degree. Fire extinguisher was last serviced on 06/21/24 and was ready for emergency use. Citations were observed and issued as listed on LIC809-D per Title 22 ,CCR Regulations from this visit. LPA requested a copy of the LIC308, LIC 500, LIC610E and current liability insurance to be sent to the Department by 02/10/25. Civil penalties shall be assessed if facility does not comply with POC requirements which were issued today. Exit interview conducted. Copy of this report and appeal rights were provided.