Routine inspection·November 8, 2024

On 11/08/2024 at 09:00 AM, Licensing Program Analysts (LPAs) Eldin Serrano and Sarina Ramirez made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection LPAs met with Executive Director Monique Del Junco and was granted entry to the facility. At the time of the visit there was two (2) staff present. The facility is a one hundred five (105) bedrooms, seventy eight (78) bathrooms facility with a kitchen/dining area, living room/activity room. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of one hundred fifteen (115) non-ambulatory and twelve (12) hospice care and twelve (12) maybe bedridden resident and the current census is seventy one (71) residents. LPAs were accompanied by Resident Care Director Jonathan Rios to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing Division (CCLD). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 72 degrees Fahrenheit. LPAs inspected resident bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPAs observed sufficient furniture and lighting throughout the facility. LPAs measured and observed the water temperatures in the bathroom to be at 117 degrees Fahrenheit at Room #106. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Fire extinguishers were also observed at the facility. Posters such as personal rights, the CCLD complaint poster, labor laws, and the disaster plan were posted in a common area. ***Continuation in LIC809C *** LPAs observed that cleaning supplies, toxins, sharps, and other dangerous items were not kept in a secure area or locked cabinets accessible to residents in care. Deficiency will be issued. There was a designated storage space for resident/staff files. There is a Medicine Room with the resident’s medications locked. LPAs Serrano and Ramirez observed complete first aid kit and first aid book at the facility. Food Service: More than seven (7) days’ supply of Non-perishable foods and more than two (2) days’ supply of perishable food supply were observed and sufficient for the number of residents in care. Care & Supervision: The facility has an Executive Director present in the facility with appropriate and enough hours to appropriately manage the facility. Record Review: LPAs reviewed five (5) resident files for admission agreements, updated physician reports, pre-placement appraisals and needs and services plans. LPAs observed resident files reviewed were complete. LPAs reviewed five (5) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. Medications/Medication Administration Record (MAR) were audited and found no issue. Based on the observations made during today’s visit, one (1) deficiency was cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809), LIC809D forms, and Appeal Rights were discussed and provided to Executive Director Monique Del Junco.