Routine inspection (multi-day)·November 12, 2024

On 11/12/24, Licensing Program Analyst (LPA) Arvin Villanueva conducted an unannounced Case Management - Annual Continuation visit at the facility to continue with the Annual Required Inspection visit initiated on 11/7/24. LPA with Administrator (Adm), Okgi Min, and stated the purpose of the visit. Present during today's visit were 5 residents in care with 2 staff on duty (Adm and S1). The LPA continued with facility visit to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. Facility is fire cleared for 6 non-ambulatory residents, 2 of which may be bedridden. Note that this facility is equipped with fire sprinkler system. Review of 3 sample resident files (R1, R2, R3) include review of Admission Agreement, Physician Reports, Needs and Services Plan, Centrally Stored Medication Record and Ambulatory Status. No issues were noted at this time. Medication review of 2 sample residents (R2 and R3) include review of physician orders for over-the-counter medications. No issues were noted at this time. Review of 3 sample staff files (S1, S2, and S3) include review of background clearance, First Aid/CPR certificate, Health Screen, Initial and Ongoing Training, and hospice training. No issues were noted. Per facility record review: staff conduct quarterly disaster drill and last drill was on 10/9/24; facility has a dementia care plan, infection control plan and updated Emergency Disaster Plan (LIC610E). Administrator provided current Liability Insurance Certificate, updated LIC500 and LIC308 during this visit. Per the California Code of Regulations, Title 22, Division 6, Chapter 8, no deficiencies were observed during today's visit. Exit interview was conducted and a copy of the report was provided upon exit.