Routine inspection·April 24, 2024

Unannounced Annual Inspection visit was made by Licensing Program Analyst (LPA) Kimberly Viarella to this facility on 04/24/24. LPA identified herself to the Caregiver on duty, explained the purpose of the visit, and asked to speak with the Designated Facility Administrator (DFA). LPA was told the DFA was on vacation so the LPA met with the Designee, per LIC 308, Ariel Alcantara and a brief interview followed. LPA noted the DFA's certificate, # 6058642740 expires on 1/27/25. The inspection began in the kitchen. All knives and sharps were locked and inaccessible to residents in care. The food supply was adequate for 2-day perishable and 7-day nonperishable. Opened packages in the refrigerator were dated appropriately. The fire extinguisher was last serviced on 11/29/23 by the State Fire Marshall and was also in compliance. LPA inspected the resident 6 bedrooms and 1 staff bedroom. All resident rooms had the required furniture, furnishings and lighting to be in compliance at this time. LPA noted soap, paper towels and trash cans with lids in the 3 bathrooms. Shampoo, conditioner, lotions and other hygiene items were in the shower as well. The hot water temperature was measured at 126.7 degrees Fahrenheit and was not in compliance. There was a caution sign posted on the mirror, but regulations state that the water for resident use should not exceed 120 degrees Fahrenheit. 5 out of the 6 residents in care at this time are non-ambulatory, but one resident still had access to this bathroom. LPA instructed the Designee to turn the temperature down to between 105 and 120 degrees in order to return them to compliance. The exterior of the building was inspected by the LPA. There were no bodies of water present and the yard was completely fenced in. LPA observed that all screens and gutters were in good repair. There was 1 storage shed with a lock that contained miscellaneous furniture and storage items. There was also a patio area for residents to enjoy. The LPA observed medications were stored in a large locked cabinet in the kitchen and inaccessible to residents in care. LPA observed that each resident had a clearly marked covered bin that displayed their name. LPA checked a sample of medications and all were current at the present time. A review of the First Aid kit by the LPA found it to be complete and in compliance. A file review was completed next. LPA reviewed 8 staff files and they were all in compliance. LPA reviewed 6 resident files and learned that 1 resident was bedridden and not on hospice. The facility did not have a fire clearance to admit a bedridden resident. This violation is cited on the LIC 421M page. Civil Penalties were assessed during this visit. According to the California Code of Regulations, Title 22, the following deficiencies were observed and cited on the LIC 809D page. Due to technical difficulties, this LPA was not able to leave a printed copy of this report today, however, it will be emailed to the Licensee/Administrator along with the APPEAL RIGHTS within 24 hours. Exit Interview.