Routine inspection·December 17, 2024

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Robert Rogovin, Administrator, and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE) with a license capacity of (6) and a current census of (3) residents in care. LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: Physical Plant/Environment: Indoor and outdoor passageways are free of obstruction. The facility has no swimming pools or similar bodies of water. Facility's backyard is sufficient for resident activities; however, LPA observed both latching gates were locked with a pad lock. LPA review of the fire inspection report on file does not specify an approval for a locked perimeter. A deficiency cited. The facility has sufficient lighting and is maintained at a temperature of 74 degrees F. Resident’s bathroom equipment were fully operational. The hot water temperature in residents' bathrooms measured 119 degrees F. LPA observed in two (2) resident's bathroom, cleaning supplies that were kept unlocked underneath the sink. The Administrator removed the cleaning supplies. LPA observed postural supports/half bedrails in resident #2 (Room A) and resident #3(Room B) being utilized without a physician's order. LPA observed a full bed in resident #1 (R1's) room C being utilized by R1 without receiving hospice care. The Licensee stated that R1 was a fall risk and supports were used for fall prevention. A deficiency cited. The facility is equipped with smoke/carbon monoxide alarms, laundry equipment, and telephone service. The facility has sufficient linen, towels, and personal hygiene items for residents. The facility has posted in a common area, Community Care Licensing complaint poster, Ombudsman poster, Personal Rights, emergency telephone numbers and evacuation sketch. Food Service: Facility kitchen and dining areas are maintained clean. The facility has sufficient non-perishable and perishable food supply for residents in care. The facility has sufficient supply of cups, plates and utensils for residents. Care & Supervision : Facility has 24-hour, 7 days a week care staff. Staff working have criminal record clearances through the Department. Record Review: Staff files were reviewed for criminal record clearances, Employment records, job training, health screenings and first Aid/CPR training. Resident files were reviewed for admissions agreements, physician's reports, appraisals and safeguarded resource records. The facility’s Administrator’s certification and liability insurance are current. The facility’s last fire drill was conducted on 11/24/24. The facility did not have a current emergency and disaster Plan on file. Deficiency cited. Medical Related Services : Resident’s medications were centrally stored in a locked cabinet. LPA observed the Licensee did not maintain a current/updated centrally medication record for R2 and R3, as not all prescribed medication were on listed on record. LPA observed in R1's current medication box, a medication with the prescription label stating discard after 11/19/24. The Licensee stated that the resident is no longer taking the medication. LPA requested all three resident's daily medication log from the Licensee. The Licensee stated that the medication log was currently at their other home for updating. Based on observations and record review, deficiencies were cited and technical advisories were issued per Title 22, of The California Code of Regulations and Health and Safety codes. This report and correction plans were reviewed with the Administrator and a copy with Appeal Rights was provided to the Administrator at the conclusion of the visit.