Routine inspection·September 25, 2023

On 9/25/23 at approximately 12:20pm Licensing Program Analyst (LPA) Jennifer Fain arrived at this facility unannounced to conduct an annual inspection visit. LPA met with the Nina Menez and explained the purpose of the visit. LPA inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms, resident bathrooms, laundry room, living area, common TV area, and outside of the facility to ensure compliance with Title 22 regulations. Facility has 6 bedrooms and 3 bathrooms for resident use. LPA also conducted the inspection using the CARE tool. Facility currently provides care for 6 non ambulatory residents. Facility Observation: Upon entry the residents were finishing lunch. Residents moved on to naps, tv in the common area and bedrooms and enjoying the sun on the patio. Family members, home health and physical therapy all made visits. During this inspection 3 of 6 resident files and 2 of 11 staffing files were reviewed for regulatory compliance. Staff files contained required contents including staff training requirements. Water temperature in common bathroom reads 117.1*F which is within the regulated temperature range of 105*F to 120*. Temperature on the heating and air unit read 75F. LPA observed the facility to have adequate food supply. Resident rooms were sanitary and had the required furniture and furnishings. The facility common areas were clean and furnished. Smoke and carbon detectors were tested and in working order. Fire extinguisher was checked 1/24/23. All toxins and other dangerous items including sharp objects were locked and inaccessible to residents in care. Medication storage area was observed to be locked and inaccessible to residents in care. First aid kit was observed to have adequate supplies and was accessible to staff. Facility does not contain any bodies of water. Facility’s liability insurance is current and up to date per regulatory requirements. LPA observed personal rights, resident council and complaint information posted. Facility has appropriate internet access available for resident use. LPA reviewed facility’s disaster plan to ensure regulatory compliance. Facility conducts quarterly fire drills. The facility is not in compliance with Title 22 Regulation, and the deficiencies can be found on the LIC 809-D page. An exit interview was conducted with Nina Menez, and a copy of the LIC 809 reports, LIC 809-D pages, and Appeals rights were provided.