Routine inspection·December 6, 2023

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPA met with, Rachel Marchany, 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) with a current census of (5) residents in care. The facility has a hospice waiver for (2). 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. Outdoor shaded area is sufficient for resident activities and is enclosed with a self-latching gate.The facility has no bodies of water. The facility has sufficient lighting and is maintained at a comfortable temperature. Resident’s bathrooms were operating in safe and sanitary conditions. The hot water temperature in residents' bathrooms measured between 110 and 120 degrees F. Resident’s bedrooms have sufficient lighting and furniture in good repair. Facility has operating carbon monoxide alarms 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, disaster evacuation plan and emergency telephone numbers. Food Service: Facility has sufficient non-perishable and perishable food supply for residents in care. The refrigerator and freezer 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 did not have the following personnel records available to the licensing agency to inspect, audit, and copy upon demand: (3) complete staff files for review. The facility did not have readily available in a central administrative location: (2) complete resident files for review. The facility did not have documentation of quarterly emergency drill conducted with staff. Medical Related Services : All medication is centrally stored and kept in a locked cabinet. Based on LPA observations and record review, deficiencies were cited during today's visit, per Title 22, Division 6 of The California Code of Regulations. An exit interview was conducted where reports (LIC809/LIC809-D/LIC9102) were discussed with Administrator Marchany. Copies of the reports with Appeal Rights were provided to the Administrator at the conclusion of the visit.