Routine inspection·February 13, 2024

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Wendy Barrera, Administrator, and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE) with a license capacity of (130) and a current census of (61) residents in care. The facility has a hospice waiver for (20) residents. 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. The facility has no bodies of water accessible to residents in care. The facility's outdoor activity areas are enclosed and sufficient for resident activities. The facility's indoor activities areas are sufficient for residents activities. Five (5) resident bathrooms inspected were maintained in operating and sanitary conditions. In resident's bathrooms, the lowest hot water temperature tested 106 degrees F and the highest hot water temperature tested 116 degrees F. Five (5) resident bedrooms inspected have sufficient lighting, operating signal system, and furniture in good repair. The facility has operating fire and 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, Ombudsman poster, resident council rights, monthly planned activities, emergency evacuation exits and emergency telephone numbers. Care & Supervision : Facility has 24-hour care staff to meet the needs of the residents. Medical Related Services : All medication is centrally stored and kept locked in the medication room. Food Service: The facility kitchen is maintained free of litter and pests. The 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. The facility's dining room areas are sufficient for residents in care. Record Review: The last fire drill conducted was on 1/30/24. The facility's liability insurance is current. Five (5) resident files reviewed were observed to be complete. Review of five (5) staff files reveal the following: staff #1(S1), staff #2(S2), staff #3(S3), staff #4(S4), and staff #5 (S5) did not have documentation of criminal record clearances on file. S1, S2, S3, and S4 did not have documentation of First Aid training on file. S1 did not have documentation of job related training on file. S4 did not have documentation of a health screening with tuberculosis results on file. Deficiencies cited. Based on observations and record review, deficiencies are being cited per Title 22, Division 6 of The California Code of Regulations An exit interview was conducted where Licensing reports LIC809, LIC809-C, LIC809-D, and LIC9102 were discussed. Copies of the reports with Appeal Rights were provided to the Administrator at the conclusion of the visit.