Routine inspection·August 28, 2023

Licensing Program Analyst (LPA) Talwinder Bains arrived on 08/28/23 to conduct the annual inspection. LPA met with administrator, Lui Ying (Ruby) and explained the purpose of today's visit. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA reviewed resident (2) and staff files (2). All residents files have required paperwork. LPA observed incomplete paperwork for staff (S1,S2) files as mentioned in 809D. LPA and Administrator toured the facility together to ensure the health and safety of residents in care. The areas toured included resident rooms, bathrooms, kitchen, and common areas and outside area. The food supply is within compliance, 2 days of perishable and 7 days worth of non-perishable food items. Grab bars were present at the toilet and in the shower. All exits were unobstructed. There is a side gate for emergency access. LPA checked the kitchen area for the ability to prepare and store food. Knives and Sharp objects found to be locked. LPA observed the area used for medication to be locked and inaccessible to residents. LPA observed smoke detectors and carbon monoxide detector at the care home are operational. Hot water temperature was observed to be 112 degrees F, which is within the regulation range of 105-120 degree. LPA observed that staff left cabinet open by kitchen which contain disinfectants and cleaning supplies and were accessible to residents. LPA observed that facility has one (1) fire extinguisher which was last serviced in 2020 . LPA requested a copy of the LIC 500, LIC610E and current liability insurance to be sent to the Department by 09/05/23.Deficiencies are cited on LIC809D per Title 22. Exit interview conducted. Appeal Rights and copy of this report left at facility.