Routine inspection·March 11, 2024

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Maria Jasmin Dolores, Administrator, and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE) with (3) floor levels. The facility has a license capacity of (50) non-ambulatory residents, a current census of (33) residents in care, and a hospice waiver for (30) residents. LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: Physical Plant/Environment: Indoor and outdoor passageways are free of obstruction. The facility has no swimming pools or similar bodies of water. Outdoor activity area is sufficient for resident activities and is enclosed with self-latching gates. The facility is maintained at a comfortable temperature. Resident bathrooms audited were equipped with grab rails and non-skid mats. Resident bathroom showers, toilets, and hand washing areas were operating properly and the hot water temperature measured 117 degrees F. Resident bedrooms audited had beds, chairs, nightstands, and sufficient lighting; However, a deficiency is being cited for not maintaining bedroom #19 clean and free of odors. Facility staff stated that they have scheduled an appointment for tomorrow (3/12/24) with an outside service company to have the carpet in bedroom #19 cleaned and sanitized. The facility has operating carbon monoxide alarms, laundry equipment, telephone service, and each floor level has an operating signal system. The facility has sufficient linen, towels, and personal hygiene items for residents. The facility has posted in a common area, Community Care Licensing complaint poster, Ombudsman poster, resident activities, evacuation exit plan and emergency telephone numbers. Sharps, disinfectants, and cleaning solutions were kept locked and inaccessible to residents in care. Care & Supervision : Facility has 24-hour, 7 days a week care staff. Food Service: Facility kitchen and dining areas are maintained clean. The facility has sufficient non-perishable and perishable food supply for residents in care. The facility has posted in the kitchen a list of residents with modified diets. The facility has menus posted in the dining area. Record Review: (6) staff files audited had criminal record clearances, health screening, employment applications, and current first aid/CPR training. (6) resident files audited had admissions agreements, physician's reports, assessments, theft and loss policy, and personal rights statements. The facility’s Administrator’s certification and liability insurance are current. The facility has an infection control and an emergency disaster plan on file. The facility’s last fire drill was conducted on 1/10/24. Medical Related Services : (6) Resident’s medications audited were labeled and centrally stored in a locked cabinet. The facility had first aid kits and first aid manuals. Based on observations and record review, a deficiency is being cited per Title 22, of The California Code of Regulations. An exit interview was conducted where this report and a plan of correction was discussed with Administrator Dolores. A copy of this report was provided with Appeal Rights to the Administrator at the conclusion of the visit.