Routine inspection·February 26, 2025

On 02/26/2025 at 9:00 AM, Licensing Program Analysts (LPAs) Beena Singh and Melody Brown made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPAs Singh and Brown met with Resident Care Director Melissa Bridges and was granted entry to the facility. Licensee/Administrator Amelia Aladin was contacted and informed of the visit. At the time of the visit there were fifty-seven (57) r esidents 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. LPAs Singh and Brown were accompanied by Licensee/Administrator Amelia Aladin 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. LPAs Singh and Brown inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. However, LPAs observed no non-slip mats in resident's bathroom in room 29. Deficiency will be issued. LPAs observed sufficient furniture and lighting throughout the facility. LPAs measured hot water in residents room 36 had 136 degrees Fahrenheit water temperature and 130 degree f. in room 39. Deficiency will be issued. Water Temperature adjusted to 118 degrees F and 114 degrees F. during the visit. 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 CCLD complaint poster posted in the 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/staff files. There is a Medicine Room with the resident’s medications locked. LPAs observed complete first aid kit and first aid book at the facility. LPAs observed that blinds in room 20 and 37 were in disrepair. Deficiency will be issued. LPAs observed Window screens in room 4, room 34, room 40, room 38 with broken window screen. Deficiency will be issued. Food Service: More than seven (7) days’ supply of Non-perishable foods and more than two (2) days’ supply of perishable food supply were observed and sufficient for the number of residents in care. All kitchen staff have their updated ServSafe certification/food handler’s card. Also, LPAs observed facility having Emergency food and water, however, facility does not have the required emergency supplies maintained at the facility. Deficiency will be issued.. 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: LPAs Singh and Brown reviewed six resident files for admission agreements, updated physician reports, centrally stored medication list, pre-placement appraisals and needs and services plans. LPAs Singh and Brown observed resident files reviewed were complete. LPAs Singh and Brown reviewed six (6) staff files for First Aid/CPR certification, criminal record clearance, training, and health screenings. LPAs observed staff files reviewed were complete. Medications were also audited for four (4) residents, however, During medication audit, LPAs observed that staffs at the facility are not assisting three (3) of four(4) residents with self-administration of medication. Deficiency will be issued. Also, During medication audit, LPAs observed that the facility is pre-pouring medications/transferring on the different container the AM medicine for next day as early as 9:30 AM. Deficiency will be issued. 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), LiC 809C, LIC809D and Appeal Rights were discussed and provided to Licensee Amelia Aladin.