Routine inspection·February 25, 2025

Licensing Program Analysts (LPAs) Sarina Ramirez and Eldin Serrano made an unannounced visit to the facility to conduct a required annual inspection. LPAs met Executive Director Maritza Lujan and discussed the purpose of the visit. The facility is a Residential Care Facility for Elderly (RCFE) with a license capacity of (220), and a current census of (106). LPAs conducted a general inspection of the facility, which included, but was not limited to, the following: Physical Plant: Indoor and outdoor passageways were kept free of obstruction. The facility has no swimming pool or similar bodies of water. The facility has sufficient space for resident activities. Five (5) resident bedrooms were inspected. Five (5) resident’s bathrooms were inspected, hot water temperatures measured 110.1 degrees F. The facility is equipped with operating smoke/carbon monoxide alarms, the facility was recently inspected by the Fire Department on 02/14/25. Facility has operating laundry equipment, and telephone service. The facility has posted in a common area, personal rights, facility sketch, the Community Care Licensing complaint poster, Ombudsman poster, menu, activities, and license. Cleaning supplies were kept inaccessible to residents in care. Food Service: Kitchen and dining areas were maintained cleaned. Perishable food supply is sufficient for number of residents in care, however nonperishable food supply is not sufficient for a seven (7) day supply, deficiency will be issued . Facility refrigerators and freezers were maintained in operating condition. The facility has posted a monthly menu. Sharps were not kept locked, deficiency will be issued. Continuation on LIC809-C Health Related services: LPAs reviewed (6) resident medications. Resident’s medications are labeled and centrally stored in a locked room. Record Review: Ten (10) resident files reviewed were observed to be complete. Eight (8) staff files reviewed were observed to be complete. The facility has an emergency and disaster plan on file; last disaster drill was completed on 02/20/25. Based on LPAs observations and records reviewed, deficiencies are being cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted where this report (LIC809) and LIC 809D was discussed to Executive Director Maritza Lujan . Copies of the reports were provided with appeal rights to the Executive Director at the conclusion of the visit.