Routine inspection·December 11, 2024

Licensing Program Analyst, LaVette Farlow, (LPA ) arrived at the Fairview Living, LLC Facility unannounced to conduct an Annual Inspections. LPA introduced self and stated purpose of the visit. LPA were greeted by Staff Member, Lupe Leon; who granted entry, asked to sign in and provided a space to work. Administrator, Ahmad Abdallatef was notified of LPA's visit via telephone. Staff Member, Lupe accompanied LPA on a walk through of the facility and provided resident records for review. The facility has 5 resident bedrooms, 1 staff room, 3 bathrooms, kitchen, dining area, living room, attached garage, and backyard. The facility is approved for 10 residents. 2 non-ambulatory, 10 ambulatory and hospice waiver for 2. Staff reported there are 8 residents in care . The census at the time of the visit was 4, the other 4 resident were at the day program and doctor visits. LPA conducted a general overall inspection, which included, but was not limited to, the following: Physical Plant: Pathways were observed to be free of obstruction. The facility was maintained in comfortable temperature of 74 degrees. LPA inspected resident bedrooms and found that each room was maintained and included required furniture such as: mattresses, night stands, adequate storage space. Each room needed sufficient lighting such as lamps or a operational ceiling light, and chairs for residents in care. A technical violation was issued. LPA observed a bathroom upstairs in a shared bedroom and the water faucet was not working. LPA notified staff and licensee. Licensee did immediately repair the faucet. Bathrooms were observed to clean. LPA tested the temperature from the bathroom faucet, which was observed in regulated limits. The facility is equipped with operational smoke detectors and carbon monoxide alarms. Administrator reports disaster drills are conducted on a quarterly basis. LPA inspected the facility's fire extinguisher on the second floor. The inspection tag indicated it was last inspected November 2024. Please see LIC9099-C Posters such as; the personal rights, let-us-know, evacuation plan, theft and loss policy, house rules, infection control, meal times and disaster plans were posted in a common area. LPA observed the annual emergency and disaster plan had not been review or signed. A technical violation was issued. There was a designated secure storage space for resident/staff files. LPA observed Administration and staff files are not maintained at the facility and the Administrator Certificate has been expired since April 2024. Two (2) deficiency were cited. Medications were secure and inaccessible to residents. LPA observed one (1) out of three (3) resident MAR was incomplete. One (1) technical violation issued. LPA observed the facility does not maintain an emergency to go bags for resident in care with emergency information or contact information readily available. A deficiency was cited. LPA observed the facility does not maintain a hospice care plan for residents in care, A technical violation was issued. Food Service : LPA completed a walk through of the facility, kitchen, the facility's refrigerator and pantries LPA observed non-perishable and perishable food supply is sufficient for number of residents in care. The facility has a posted food menu; which is published on a monthly basis for breakfast, lunch, dinner and snacks. Facility offers its resident a variety of food items. Dishes, cups, and utensils were observed in proper storage and in adequate amounts. LPA observed the facility does not maintain a emergency food and water supply in case of an evacuation for residents in care. A deficiency was cited. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. All staff members currently employed in the facility have criminal record clearance through the department. Record Review: LPA reviewed three (3) resident files for admission agreements, updated physician reports, and needs and services plans. Based on observations, interviews and record reviews, deficiencies will be cited per Title 22, California Code of Regulations and technical violation were issued. A copy of this report was read/reviewed with Facility Administrator Ahmad Abdallatef; signature acknowledges understanding and receipt of report and attachments.