Routine inspection·November 6, 2024

On 11/06/24, Licensing Program Analyst (LPA) Kimberly Viarella made an unannounced visit to this facility to conduct an annual inspection. LPA identified herself upon arrival, stated the purpose of the visit and asked to meet with the Designated Facility Administrator/Executive Director (ED), Marianne Richardson. The two met and a brief interview followed. The ED escorted the LPA through the building where the LPA observed the following: a housekeeper servicing rooms on the first floor. In assisted living, this LPA observed 9 residents outside the private dining room playing a trivia game led by a staff member. In memory care this LPA observed 4 residents participating in chair yoga exercises led by a staff member. During the tour this LPA checked to ensure that all fire extinguishers had been serviced, in this case by Johnson Controls, and were in compliance at the time of inspection. LPA inspected the medication cart and compared medications prescribed for R1 to the medications in the cart. All was in order and no errors were located. LPA also inspected the cart for expired medications and found none at the time of inspection. This LPA reviewed the policies and procedures for administering and destroying medications as well as the procedures for administering PRNs. Technical assistance was provided regarding information found in the California Department of Social Services Medications Guide. This LPA also reviewed the facility's first aid kit to ensure it contained the required components. All was in compliance at the present time. LPA inspected a sample of resident rooms. Each had the required furniture, furnishings, and lighting to be in compliance at the present time. Bathrooms also contained the required grab bars and non-skid surfaces in the showers. LPA measured the hot water in a resident bathroom to ensure it was between 105 and 120 degrees Fahrenheit. LPA conducted an external inspection of the facility. There were no external bodies of water present. All windows, window screens, gutters and patio areas were free of debris and in good repair. LPA then went on to conduct a review of 3 resident files. Resident files were complete at the time of inspection. LPA reviewed a sample of 3 staff files. LPA observed documentation for training through an online learning system. LPA provided additional technical assistance with regards to the types of training that the regulations require. LPA toured the dining room where she observed 18 residents having lunch. LPA inspected the kitchen where the following pantry items were found after their "best if used by" date: 3 cans of Crisco - 12/02/22, 5 containers of grits- (1) 05/21/24, (2) 08/13/24, (1) 07/01/24. LPA also found a half-full bottle of teriyaki sauce that was supposed to be refrigerated after opening. According to Title 22 of the California Code of Regulations, this deficiency was cited on the LIC 809D page. No additional deficiencies were cited during today's inspection. A copy of this report was provided along with a copy of APPEAL RIGHTS and an exit interview was conducted with Marianne Richardson.