Routine inspection·May 18, 2024

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Letitia Isai, Administrator, and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE) with a license capacity of (4) non-ambulatory residents, a hospice waiver for (2) and a current census of (2) residents in care. LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: Physical Plant/Environment: Indoor passageways are free of obstruction. Outdoor shaded area is sufficient for resident activities and is enclosed with a self-latching gate. The facility has sufficient lighting and is maintained at a comfortable temperature. Resident’s showers, toilets, and hand washing areas were operating in sanitary conditions. The hot water temperature in residents' bathrooms measured 120 degrees F. Resident’s bedrooms had beds, bed linen, chairs, night stands, and sufficient lighting. Facility has operating 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, emergency telephone numbers, facility sketch, and facility License. Sharps, disinfectants, and cleaning solutions were kept locked and inaccessible to residents in care. Deficiencies cited: LPA observed resident #1 (R1s) bedroom was not odor free. The Administrator stated that the odor was in the carpet and will have to be replaced. LPA observed in resident #2 (R2s) shredded paper all over resident's bedroom floor. The Administrator stated that the resident shredded a chuck underpad over the floor. LPA observed the backyard swimming pool gate was open and unlocked. The Administrator closed and locked the gate. LPA observed an overgrown Trumpet plant blocking backyard passageway. Food Service: The facility has sufficient non-perishable and perishable food supply for residents in care. Disinfectants and other cleaning solutions are stored away from food items. Deficiency cited: the facility did not maintain the kitchen counter near the kitchen stove and areas around the microwave clean and clutter free. LPA observed uncovered, leftover food in frying pan and uncovered grease in a bowl in the refrigerator. Care & Supervision : Facility has 24-hour, 7 days a week care staff. Facility staff has CPR/first aid training. Record Review: Resident files reviewed were observed to be complete. Deficiencies cited: Staff #1 (S1) did not have record of training on care supervision with a hospice component and dementia care for review. The Licensee did not maintain record of a current emergency drill conducted with staff for review. The facility did not have record of a complete emergency disaster plan (LIC610E) or similar plan for review. Medical Related Services : Resident’s medications are labeled and centrally stored in a locked cabinet. The facility has a complete first aid kit. Deficiencies cited: The Licensee did not maintain record of resident #2 (R2s) medications on file for review. Based on observations and record review, deficiencies are being cited per Title 22, of The California Code of Regulations and Health and Safety Code. An exit interview was conducted where this report and correction plans were discussed. Copies with Appeal Rights were provided to the Administrator at the conclusion of the visit.