Routine inspection·August 1, 2023

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Maria Carrillo Molina, Dietary Supervisor and Michael Garcia, Administrator and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE). License capacity of (85) with a current census of (73). Hospice waiver for (10) residents. LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: LPA inspected the facility inside and out. Indoor and outdoor passageways are free of obstruction. The facility has sufficient lighting and is maintained at a comfortable temperature. Fireplace is adequately screened . Facility has no outdoor bodies of water. Facility has sufficient indoor and outdoor furniture in good repair for residents in care. Facility has a covered outdoor patio area. However, the outdoor space for Dementia residents is not completely enclosed with open access to the street. Deficiency cited. LPA inspected the kitchen. Hot water temperature is maintained at degrees 109 degrees F. Facility has sufficient non-perishable and perishable food supply for the number of residents in care. A monthly menu is posted in the kitchen. However, LPA observed roaches and insects on several areas of the kitchen. Staff stated that an exterminator is scheduled to treat the facility on August 3rd. Deficiency cited LPA inspected (10) resident bedrooms. Bedrooms are equipped with mattresses, nightstands, pillows, chairs, and storage space. Bedrooms have sufficient linen and lighting. LPA inspected client bathrooms and central bathroom. Bathrooms are equipped with handrails, shower chairs and operating in safe conditions. The hot water temperature tested in all bathrooms between 105 and 112 degrees F. However, upon turning on the light of the central bathroom, LPA observed bugs scattering around the floor. Staff stated that an exterminator is scheduled to treat the facility on August 3rd. Deficiency cited. LPA observed the facility is equipped with operating carbon monoxide alarms. Facility has operating telephone service on the premises. Posters such as personal rights, ombudsman contact poster, Licensing complaint telephone number, emergency phone numbers are posted in a common area. Disinfectants, cleaning solutions, and toxins are kept locked and inaccessible to residents in care. LPA reviewed client medications are kept in a safe and locked cabinet inaccessible to residents in care. All medication are labeled and administered as prescribed. LPA reviewed staff files for fingerprint Clearances/Exemptions, training certifications, health screening, employee rights and applications. LPA found that staff #1 did not have the required health screening. deficiency cited. LPA reviewed resident files for admissions agreements, physician's reports, needs service plans Personal Rights: Residential Care for the Elderly. LPA found resident #1 and resident #2 files were missing admissions agreements and Resident #3 file had an incomplete physician's report. Deficiency cite. Deficiencies are being cited during today's visit. An exit interview was conducted where reports (LIC809/LIC809D) were discussed and a copy of the reports with appeal rights was provided to Maria Carrillo Molina at the conclusion of the visit.