Routine inspection·August 6, 2024

Licensing Program Analyst (LPA) Vincent Moleski arrived unannounced to conduct an annual inspection. LPA Moleski met with facility administrator Angelita Dayoan and explained the purpose of the visit. LPA Moleski reviewed five resident files (R1-R5) and three staff files (S1-S3). LPA Moleski observed in R5's file an after-visit summary which stated R5 went to the hospital on 6/25/24 due to abdominal pain, and received a CT scan while there. LPA Moleski observed a handwritten incident report in R5's file regarding the hospital visit, but which was not completed, and did not indicate that it was sent to CCLD. LPA Moleski reviewed email and fax records and observed that no report had been received regarding this incident. LPA Moleski toured the facility with Dayoan and inspected common areas, the kitchen, bedrooms, bathrooms, and backyard areas. Furniture and furnishings were sufficient to meet the needs of residents. The facility temperature was 75 degrees Fahrenheit, which is within the required range of 68 and 85 degrees. The facility's water temperature measured 106 degrees Fahrenheit, which is within the required range of 105 and 120 degrees. LPA Moleski observed first aid supplies, a fully-charged and up-to-date fire extinguisher, and working carbon monoxide/smoke detectors. LPA Moleski observed a minimum 2-day supply of perishable food and a minimum 7-day supply of nonperishable food. LPA Moleski observed a locked cabinet for the storage of medication. LPA Moleski observed locked cabinets for the storage of cleaning solutions and knives. LPA Moleski interviewed two staff members (S1-S2) and one resident (R1). This facility is hereby cited per 22 CCR Section 87211(a)(1) . An exit interview was held with Dayoan. Appeal rights and a copy of this report were left with Dayoan.