Routine inspection·August 9, 2024

Licensing Program Analysts (LPAs) Magda Malcore and Becky Mann made an unannounced visit to the facility to conduct a required annual inspection. LPAs met with Jonie Gatus, Assisting Administrator, and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE) with a license capacity of (6) and a current census of (6) residents in care. LPAs conducted an overall inspection of the facility, which included, but was not limited to, the following: Operation/Physical Plant: The facility has an infection control plan and emergency disaster plan on file. Indoor and outdoor passageways are free of obstruction. The facility has no swimming pools or similar bodies of water. The facility has sufficient indoor and outdoor activity space. Outdoor activity area is enclosed with a self-latching gate. The facility has sufficient lighting and is maintained at a comfortable temperature. Resident bathroom equipment were operating in a safe and sanitary condition. The hot water temperature in residents' bathrooms measured 105 degrees F. Resident’s bedrooms had beds, bed linen, chairs, sufficient storage space and lighting. Facility has operating carbon monoxide alarms, telephone service and a 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, Personal Rights, disaster evacuation plan and emergency telephone numbers. Sharps, disinfectants, and cleaning solutions were kept locked and inaccessible to residents in care. 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's refrigerator and freezer were operating in a healthful manner. Care & Supervision : Facility has 24-hour, 7 days a week care staff. Staff working have criminal record clearances through the Department. Record Review: Staff files reviewed were observed to be complete. Resident files reviewed were observed to be complete. Administrator’s certification and liability insurance were current. Medical Related Services : Medications were centrally stored in a locked cabinet. LPAs review of resident medications reveals staff did not maintain a complete and current record of resident medications for review . LPAs were provided several lists to find all current medications. Discontinued medications were also listed as current medications. Resident#1 (R1) had a medication on file which was labeled for daily use; however, the Assisting Administrator stated that the medication is to be provided as needed and will have R1's physician update the medication label. Based on observations and record review, deficiencies are being cited per Title 22, of The California Code of Regulations. This report was reviewed with the Assisting Administrator and a copy with Appeal Rights was provided to the Assisting Administrator at the conclusion of the visit.