Routine inspection·May 6, 2024

Licensing Program Analyst (LPA) Vincent Moleski arrived unannounced to conduct an annual inspection. LPA Moleski met with facility administrator Yelena Bigelow and explained the purpose of the visit. Upon arrival, two staff members were present (S1-S2). LPA Moleski reviewed Guardian records and observed that S2 was not associated to this facility. S2 told LPA Moleski that S2 had started working at this facility today. Bigelow associated S2 during this visit. LPA Moleski reviewed six resident files (R1-R6) and five staff files (S1-S5). LPA Moleski toured the facility with staff 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 105 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 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 closet for the storage of medication. LPA Moleski observed locked cabinets for the storage of cleaning solutions and knives. [continued on 809-C] LPA Moleski interviewed two staff members (S1-S2) and one resident (R6). This facility hereby cited per 22 CCR Section 87355(e)(2). This facility was previously cited per 22 CCR Section 87355(e)(2) on 4/24/24. A $1,000 civil penalty is hereby assessed, as this is a repeat violation. A civil penalty in the amount of $100 per day for one day is hereby assessed for one day worked by a caregiver not associated to this facility (S2). An exit interview was held with Bigelow. Appeal rights and a copy of this report were left with Bigelow.