Routine inspection·November 15, 2023

On 11/15/2023 at 8:50 AM, Licensing Program Analyst (LPA) Sarena Keosavang arrived at the facility unannounced to conduct a Required-1 Year Inspection utilizing the inspection tool. LPA met with Administrator, Derbbie Ninobla, and explained the purpose of the visit. At 9:00 AM, LPA and administrator toured the interior and exterior of the facility to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, residents' bedrooms, bathrooms, kitchen, and backyard. LPA observed required furniture, and lighting throughout the residents' bedrooms and facility. LPA observed residents' bathrooms to be clean, sanitary, and in good repair. LPA observed food supplies of non-perishables for a minimum of one (1) week and perishable foods for a minimum of two (2) days. Toxic and cleaning supplies locked and is inaccessible to residents in care. The hot water temperature was measured in the kitchen at 109 degrees Fahrenheit. First aid kit was completed. LPA observed fire detectors and carbon monoxide alarms to be operable. The fire extinguisher was last serviced on 07/06/2023. LPA observed medications to be locked and inaccessible to residents in care. LPA observed required Licensing posters posted throughout the facility. At 9:20 AM, LPA reviewed a total of four (4) residents' files. Residents' files contain physician's reports, appraisals, identification sheets, releases, and resident's rights. Two (2) residents have incomplete admission agreements. Medications are centrally stored, locked, and appear to be given per doctor order. LPA compared medications to those being given for four (4) residents and found no discrepancies. Facility is correctly using the Medication Administration Records (MAR). LPA reviewed a total of two (2) staff record. Staff has training in first aid and CPR and other various areas of care provision. There were deficiencies found in today's inspection. Deficiencies are cited from California Code of Regulations, Title 22, and citations are listed on LIC809-D. If the deficiencies are not corrected by the noted due date civil penalties may be assessed. Exit interview conducted and report provided.