Routine inspection·June 21, 2023

Licensing Program Analyst (LPA) Vincent Moleski arrived unannounced to conduct an annual inspection. LPA Moleski met with administrator Merlita James and explained the purpose of the visit. LPA Moleski reviewed three resident files (R1-R3) and two staff files (S1-S2). R3's most recent LIC 602 indicated that R3 has dementia. R3's most recent LIC 602 was dated April 2022, which means it is more than a year old. The first aid/CPR certification in S1's file expired in 2022. S2's file did not have a health screening report or a first aid/CPR certification. James said S2 has an appointment made for July 10 to get a health screening completed. LPA Moleski toured the facility with James and inspected common areas, kitchen, bedrooms, bathrooms, and backyard areas. Furniture and furnishings were sufficient to meet the needs of residents. While inspecting the laundry room LPA Moleski and James observed fabric softener left out. While inspecting the backyard, LPA Moleski and James observed motor oil and paint cans left out. The facility temperature was 74 degrees Fahrenheit, which is within the required range of 68 and 85 degrees. The facility's water temperature was tested and measured 111 degrees Fahrenheit, which is within the required range of 105 and 120 degrees. LPA Moleski observed first aid supplies, a fully-charged and up-to-date fire extinguisher, and working carbon monoxide/smoke detectors. LPA Moleski observed a minimum 2-day supply of perishable food and a minimum 7-day supply of nonperishable food. LPA Moleski observed a locked cabinet for the storage of medication. LPA Moleski observed locked cabinets for the storage of cleaning solutions and knives. LPA Moleski interviewed one staff member (S2). Residents were not able to be interviewed. This facility is being cited per 22 CCR sections 87309(a), 87411(f), 87411(c)(1) and 87705(c)(5). An exit interview was held with James. Appeal rights and a copy of this report were left with James.