Routine inspection·January 25, 2024

On 01/25/2024 at 12:45 PM, Licensing Program Analyst (LPA) Melody Brown made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA Brown met with Resident Care Director Melissa Bridges, and was granted entry to the facility. Administrator Amelia Aladin was contacted and informed of the visit. At the time of the visit there was fifty-seven (57) residents present. The facility is a forty (40) bedroom with a kitchen/dining area, living room/activity room. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of seventy-four (74) non-ambulatory residents, hospice waiver for ten (10) residents and eight (8) bedridden residents. The current census is fifty-seven (57) residents. LPA Brown was accompanied by Resident Services Director Melissa Bridges 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 Brown 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 Brown observed sufficient furniture and lighting throughout the facility. LPA Brown measured and observed the water temperatures in the bathroom to be at 72 degree F at Room #2. Deficiency will be issued. During the visit on 01/25/2024, the facility adjusted the hot water temperature at Room #2 and LPA Brown observed 106 degrees Fahrenheit. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Fire extinguishers were also observed at the facility. ***Continuation in LIC809C *** Posters such as personal rights, Ombudsman Poster, labor laws, and the disaster plan were posted in a common area. However, LPA Brown observed no CCL complaint poster at the facility. Deficiency will be issued. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated storage space for resident/staff files. There is a Medicine Room with the resident’s medications locked. LPA Brown observed complete first aid kit and first aid book at the facility. Moreover, during the tour of the facility, LPA Brown observed Resident #1 (R1) with half bed rails and per documents review, no written documentation from R1's physician indicating R1's need for half bed rail for mobility. Deficiency will be issued. Food Service: More than seven (7) days’ supply of Non-perishable foods and more than three (3) days’ supply of perishable food supply were observed and sufficient for the number of residents in care. All kitchen staff have their updated food handlers card. Care & Supervision: The facility has an appropriate number of staff present at the facility and enough hours to appropriately manage the facility. The facility has sufficient number of staff to provide care and supervision to the residents in care. Record Review: LPA Brown reviewed three (3) resident files for admission agreements, updated physician reports, pre-placement appraisals and needs and services plans. LPA Brown observed resident files reviewed were complete. LPA Brown reviewed four (4) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. LPA Brown observed resident files reviewed were complete. Medications were also audited for three (3) residents and no issues observed. Based on the observations made during today’s visit, deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809), LIC809D forms, and Appeal Rights were discussed and provided to staff Socrates Gerwin Convento.