Routine inspection·September 17, 2024

On 9/17/2024, Licensing Program Analysts (LPAs) Cassie Yang and Graham Gunby arrived unannounced at the facility to conduct a required annual inspection utilizing the CARE tool. LPAs met with caregiver and explained the purpose of the visit, who then contacted Administrator who then arrived to the facility shortly afterwards. LPAs and Administrator conducted a tour of the interior of the facility to ensure the health and safety of residents in care. Areas toured included but not limited to: five residents room, one staff room, two bathrooms, kitchen and the common areas. LPAs observed medications present on S1's counter by room entrance. LPAs were informed room cannot be locked because there is no key. Medications were immediately relocated by Administrator. LPAs conducted a medication audit and found R1's tylenol to be expired, additionally, LPAs observed two medications present without a physician order on file. File review was conducted and LPAs observed S1 to not have LIC 503 and/or negative TB result present on file. LPAs further observed R1's LIC 602A to be out of date, needing annual assessment. Emergency Disaster Plan reviewed. LPAs informed Administrator document should be reviewed and updated annually. LPAs and Administrator discussed fire and earthquake drill are to be conducted quarterly. A copy of CCR Title 22 87705 Care of Persons with Dementia. As a result of today's visit, deficiencies observed. Please see LIC 809-Ds. Exit interview and a copy of the report and appeal rights provided.