Routine inspection·September 19, 2023

On 9/19/23 at approximately 2:30pm Licensing Program Analyst (LPA) Jennifer Fain arrived at this facility unannounced to conduct an annual inspection visit. LPA met with Janice Rivera and explained the purpose of the visit. LPA inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms, resident bathrooms, laundry room, living area, common TV area, and outside of the facility to ensure compliance with Title 22 regulations. Facility has 6 bedrooms and 2 bathrooms for resident use. Facility currently provides care for 3 non ambulatory, 1 hospice, and 2 bedridden residents. Facility Observation: Upon entry the residents were watching tv in the common area or in their rooms. Staff was showering one resident. During this inspection resident and staffing files were found to be incomplete. Administrator states records are online and will email records to LPA by end of day. Water temperature in residents' bathroom reads 127*F which is above the regulated temperature range of 105*F to 120*. Temperature on the heating and air unit read 75*F. LPA observed the facility to have adequate food supply. Resident rooms were sanitary and had the required furniture and furnishings. The facility common areas were clean and furnished. Smoke and carbon detectors were tested and in working order. Fire extinguisher was checked 10/21/22. Sharp objects were locked and inaccessible to residents in care. Medication storage area was observed to be locked and inaccessible to residents in care. Facility does not contain any bodies of water. LPA observed personal rights, resident council and complaint information posted. Facility has appropriate internet access available for resident use. LPA observed chairs, shower chairs, bed rails and trash cans blocking facility fire exit route on the exterior of the facility. LPA requested an updated copy of LIC308, LIC309, LIC402, LIC610E and LIC 500 to be emailed to Jennifer.Fain@dss.ca.gov by end of week. This annual inspection is incomplete and will continue at a later date. The facility is not in compliance with Title 22 Regulation, and the deficiencies can be found on the LIC 809-D page. An exit interview was conducted with Janice Rivera and a copy of the LIC 809 reports, LIC 809-D pages, and Appeals rights were provided.