Routine inspection·October 9, 2024

Licensing Program Analyst (LPA) Mary Rico made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Office Manager Danielle Garcia and was granted entry to the facility. Licensed capacity is (197) current census (155). LPA was accompanied by Regional Manager Patrick L. Mcadoo Morton, Administrator Marc Pacia and Office Manager Danielle Garcia 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 indoor and outdoor passageways. 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. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, and the CCL complaint poster, were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. There was a designated office for client/staff files. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Facility has a variety of food available for residents. Dishes, cups, and utensils were also stored properly. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPA reviewed (15) resident files for admission agreements, updated physician reports, and needs and services plans. LPA reviewed (15) resident medications and (3) hospice files. In addition, LPA audit (10) resident safeguard. The remaining cash balance matched the documentation on the LIC405. LPA also reviewed (10) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings. During medication audit, 3 out of the 4 medication carts had lose pills. LPA observed (7) lose pills. LPA requested for the medication to be dispose properly. Medication shall be centrally stored in it's original received container/bubble pack. Based on the observations made during today’s visit, (1) Type A Deficiency were 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 Administrator Marc Pacia and Regional Manager Patrick L. Mcadoo. Along with a copy of Appeal Rights.