Routine inspection·January 8, 2024

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Jaclyn Nava, Administrator, and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE) with a license capacity of (64) and a current census of (50) residents in care. The facility has a hospice waiver for (10) residents. LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: Physical Plant: Indoor and outdoor passageways are free of obstruction. The facility has no bodies of water accessible to residents in care. The facility has sufficient indoor and outdoor shaded areas for resident activities. The facility has sufficient lighting and is maintained at a comfortable temperature. Resident’s bathrooms inspected at random, were operating in safe and sanitary conditions. The hot water temperature in residents' bathrooms measured between 105 and 108 degrees F. Resident’s bedrooms inspected at random, have sufficient lighting and furniture in good repair. Facility has operating carbon monoxide alarms and telephone service. The facility has sufficient linen and personal care items for residents. The facility has posted in a common area, Community Care Licensing complaint poster, Ombudsman poster, evacuation plan, resident monthly activities and resident's personal rights. Food Service: Facility has sufficient non-perishable and perishable food supply for residents in care. The refrigerators and freezers are operating in a healthful manner. Pesticides and other cleaning solutions were kept locked and stored away from food areas. Care & Supervision : Facility has 24-hour, 7 days a week care staff. Record Review: The facility conducted a disaster drill on 9/21/2023. Resident files reviewed were observed to be complete. Review of staff files reveals, the facility did not maintain a health screening with tuberculosis results for staff #1 (S1). Medical Related Services : All medication is centrally stored and kept secure in a locked room. Based on LPA observations and record review, a deficiency is being cited per Title 22, Division 6 of The California Code of Regulations. An exit interview was conducted where reports LIC809/LIC809D/LIC9102 were discussed with the Administrator and copies of the reports with Appeal Rights were provided at the conclusion of the visit.