Routine inspection·March 24, 2023

Licensing Program Analysts (LPAs) Vincent Moleski and Jason Lund arrived unannounced at the facility on Friday, March 24, 2023 to conduct an annual inspection. LPAs Moleski spoke with administrator Una Waqalala over the phone and explained the purpose of the visit. Waqalala arrived later during the visit. When LPAs Moleski and Lund arrived at the facility, they observed a bicycle lock wrapped around the front gate, making it inaccessible to residents in the event of a fire. LPAs Moleski and Lund toured the facility with staff. LPAs Moleski and Lund observed the common areas, resident bedrooms, restrooms, kitchen, dining areas, and outdoor areas. Fixtures and furnishings in all areas were sufficient to meet the needs of the residents. The facility's refrigerator and food storage areas contained the required two-day perishable supply and seven-day nonperishable supply. Water temperature was measured and was within the required range of 105 degrees to 120 degrees. The temperature of the facility was within the required range of 68 and 85 degrees. LPAs Moleski and Lund observed the facility's locked medication storage cabinet. Medication was locked and inaccessible to residents. LPAs Moleski and Lund observed a cabinet for storage of cleaning supplies. The facility's first aid kits were observed to contain all the required components. LPAs Moleski and Lund reviewed three resident files for R1, R2, and R3, and two staff files for S1 and S2. LPAs Moleski and Lund requested an updated LIC 500. [Continued on 809-C] Two residents, R4 and R5, were interviewed. One staff member, S3, was interviewed. Based on LPAs Moleski and Lund's observation of a bicycle lock preventing egress through the front gate, a citation is being issued per 22 CCR 87705(I). Technical assistance advisory notes were generated to address live-in staff and license capacity. LPAs Moleski and Lund conducted an exit interview with Waqalala and a copy of this report and appeal rights were left with her.