Routine inspection·February 2, 2024

Licensing Program Analyst (LPA) Christina Valerio arrived unannounced to conduct an annual required inspection. LPA met with facility staff Violeta, and explained the purpose of today's visit. LPA was later met by Administrator Faith Paras. LPA Valerio and Facility Staff Violeta toured the facility to ensure compliance with Title 22 regulations. LPA measured the hot water temperatures in both bathrooms that are utilized by residents. Water temperature reads 118.2° F in the bathroom by the kitchen and 119.5 in the bathroom, within regulatory range of 105 *F and 120 *F. Room temperature reads 73° F. LPA observed the facility to have adequate food supply. The facility refrigerator is broken; however, they have a new one arriving next week. The facility has a separate freezer and smaller refrigerator to store items until the new refrigerator arrives. Resident rooms was sanitary and had the required furniture and furnishings. The facility common areas were clean and furnished. Smoke and carbon detectors were in good repair. Fire extinguishers was up to date with last check on 01/27/2024. Medications cabinet was locked. The facility was observed to have a first aid kit. Chemical, toxins, and cleaning supplies were locked and inaccessible to residents in care. All emergency exits were from obstructions. LPA inspected the shed located in the exterior area, which was observed to used for storage. LPA reviewed 3 staff and 2 resident files. Technical Assistance was provided for 1 out of 3 staff files reviewed. Resident files were observed to be incomplete with missing appraisals and needs and service plans. Last emergency drill was conducted on 09/22/23. LPA requested the following annual documentation be sent to the Regional Office: LIC 308 Designation of Administrative Responsibility, LIC 500 Personnel Report, Copy of Administrator Certificate, LIC 610 Emergency Disaster Plan, and Proof of Current Liability Insurance. Per California Code of Regulations (CCR) - Title 22, Division 6, Chapter 8, deficiencies were observed during today's visit. Appeal Rights Provided. Failure to correct deficiencies may result in civil penalties. An exit interview was held, and a copy of the report was provided.