Routine inspection·June 30, 2023

Licensing Program Analyst (LPA) Tung Truong conducted an unannounced 1 Year Annual Inspection visit at this facility on 6/30/23. LPA met with Licensee Mark Cimino and explained the purpose of the visit. Licensee will assist LPA with today’s inspection. The licensee is designating Romerico Foz as the new facility administrator. Romerico Foz holds current certificate # 6013248740 and expires on 6/25/2024. LPA toured and inspected the physical plant inside and outside to ensure there were no health and safety concerns. LPA observed the lounge area, lobby, and common areas. In addition, the kitchen areas, dining area, and activity room was toured. Medication room was toured. LPA observed the centrally stored medication areas to be locked and made inaccessible to the residents at this time. Kitchen was toured for adequate food supplies and storage. LPA observed supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days maintained on the premises. LPA observed required furniture and lighting throughout the facility. The hot water temperature was measured and is within the required range of 105-120*F. The temperature inside the facility measured at 72*F which was within the required range of 68-85*F. LPA observed the fire extinguisher(s) and first aid kits were up to date. Smoke and carbon monoxide detector(s) in the facility were in good repair. LPA and Licensee tested the emergency pull cord system and it was in good repair. Continued on 809-C LPA requested resident and staff files for review. LPA reviewed (8) resident files and (8) staff files, including criminal record clearances. LPA reviewed staff associations to the facility. A full Care Tool Inspection was completed at facility. Proof of current liability insurance was observed. Licensee was informed to send updated copies of the following documents to CCL within 15 days: LIC 500 Personnel Report, LIC 610 Emergency Disaster Plan. Per California Code of Regulations, Title 22, no deficiencies were observed during this visit. Exit interview was conducted and a copy of this report was provided.