Routine inspection·June 13, 2023

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Jennifer Heldoorn, Executive Director and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE). Licensed capacity is (156) with a hospice waiver for (25). The current census is (109). 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 were kept free of obstruction. The facility has sufficient furniture and activity space for clients in care. The facility has sufficient lighting and is maintained at a comfortable temperature 71 degrees F. LPA inspected the kitchen. Facility has sufficient non-perishable and perishable food for the number of clients in care. Menus are posted in various areas of the facility. Facility food is stored in a safe and healthful manner. Sharps are stored and kept locked and inaccessible to clients in care. LPA inspected six (6) client bedrooms. Bedrooms are equipped with required furniture such as: mattresses, nightstands and storage space. Bedrooms have sufficient linen and lighting. LPA inspected six (6) client bathrooms. Bathrooms were equipped with handrails and operating in safe and sanitary conditions. The hot water temperature tested within regulation at 108 degrees F. LPA observed the facility is equipped with operating carbon monoxide alarms, fully charged fire extinguishers and operating telephone service. Posters such as personal rights, Complaint reporting, the disaster plan were posted in a common area. An Emergency drill was conducted on 5/10/2023. Cleaning supplies, toxins, items were kept locked and inaccessible to clients in care. The facility is equipped with two (2) centrally store medication rooms. Medications are kept in safe and locked cabinets inaccessible to clients in care. LPA reviewed six (6) client medications and centrally stored medication logs. All medication were administered as prescribed and labeled as required by Sate and Federal laws. All staff files reviewed had criminal record clearance, training, and health screenings. All client records reviewed has admissions agreements, physician's report, and personal rights statements. Overall, the facility is clean, in good repair, and operating in safe conditions for clients in care. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, California Code of Regulations. An exit interview was conducted, where this report (LIC809) was discussed and a copy of report with appeal rights was provided to the Executive Director at the conclusion of the visit.