Routine inspection·November 30, 2023

Licensing Program Analyst (LPA) Ryan Gardner made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Facility Manager Eldalin De Deugd and was granted entry to the facility. The facility is a Residential Care Facility for the Elderly (RCFE). The facility has eight (8) resident bedrooms, and four (4) resident bathrooms, a kitchen, a dining area, and a living room. The facility is licensed for a capacity of fifteen (15) non-ambulatory residents. The current census is fifteen (15) residents. LPA was accompanied by Facility Manager to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to interior and exterior passageways. The facility provides care to residents with dementia which requires auditory alarms on the facility exit doors. The facility will be issued a deficiency for not having auditory alarms on the facility exit doors. The facility is maintained at a comfortable temperature. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. LPA measured and observed the water temperature in the bathroom to be at 108. 8 degrees F. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Postings such as the facility license, personal rights, the CCL complaint poster, labor laws, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated storage space for resident and staff files. Medications are kept inside the facility office inaccessible to residents. Overall, the facility is clean and in good repair. Food Service: Non-perishable and perishable food supply is sufficient for the residents in care. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPA reviewed five (5) residents file for admission agreements, updated physician reports, and needs and services plans. LPA reviewed four (4) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. Medications were audited and appeared to be dispensed appropriately. Based on the observations made during today’s visit, one (1) deficiency was cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Facility Manager Eldalin De Deugd, along with a copy of the appeal rights.