Routine inspection·March 4, 2024

Licensing Program Analyst (LPA) Magda Malcore conducted and unannouced required annual inspection. LPA met with Elizabeth Mahan, Administrator, and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE) with a license capacity of (20) and a current census of (16) 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. Indoor and outdoor activity space is sufficient for resident in care. The facility's outdoor activity space is gated and protected from traffic. The facility has sufficient lighting and is maintained at a comfortable temperature. Resident’s showers, toilets, and hand washing areas were operating in a safe and sanitary condition. The bathrooms were equipped with grab rails and non-skid flooring. The hot water temperature in residents' bathrooms measured at 110 degrees F. Nine (9) Resident’s bedrooms inspected were equipped with beds, bed linen, chairs, and lighting. The facility has operating carbon monoxide alarms, telephone service, laundry equipment and signal system. The facility has sufficient linen and personal hygiene items for residents. The facility has posted in a common area, Community Care Licensing complaint poster, Ombudsman poster, Personal Rights, Theft and Loss Policy, disaster evacuation exit plans and emergency telephone numbers. Sharps, disinfectants, and cleaning solutions were kept locked and inaccessible to residents in care. Care & Supervision : Facility has 24-hour, 7 days a week care staff. Food Service: Facility kitchen and dining areas are maintained clean. The facility has sufficient non-perishable and perishable food supply for residents in care; However, one of the facility's freezers used to store perishable food items was not maintained at a temperature of 0 degree F. The freezer tested at 28 degrees F. The Administrator moved the perishable items out of the freezer into another properly operating freezer and stated the she will have the refrigerator serviced. Deficiency cited. Record Review: LPA review of five (5) staff files and five (5) resident files reveals the following: staff #1 (S1) did not have a health screening signed by the examining physician. Resident #1 (R1) did not have a current physician's reports or medical assessment conducted within 12 months on file as required due to R1's cognitive condition. The facility’s liability insurance is current. The facility’s last fire drill was conducted on 12/21/23. Medical Related Services : Resident’s medications are labeled and centrally stored in a locked room. The facility has a complete first aid kit. Based on observations and record review, deficiencies are being cited per Title 22, of the California Code of Regulations. An exit interview was conducted where the Licensing reports were reviewed and copies with Appeal Rights were provided to Administrator Mahan at the conclusion of the visit.