Routine inspection·November 18, 2023

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Dorris Anderson, Licensee and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE). License capacity of (10) non-ambulatory residents and a current census of (9). LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: Physical Plant: Indoor passageways are free of obstruction. The facility has sufficient lighting and is maintained at a comfortable temperature. Resident’s bathrooms were operating in safe and sanitary conditions. The hot water temperature in resident's bathrooms measured between 106 and 109 degrees F. Resident’s bedrooms have sufficient lighting and furniture in good repair. Facility has operating carbon monoxide alarms and telephone service. The facility has sufficient linen, towels, and personal hygiene items for residents. The facility has posted in a common area: Community Care Licensing complaint poster, Ombudsman poster, resident personal rights, Facility license, disaster evacuation plan and emergency telephone numbers. Yards/Outside: Outdoor passageways are free of obstruction. The facility has no bodies of water accessible to residents in care. The facility backyard is fenced and has sufficient space for resident activities. Food Service: Facility has sufficient non-perishable and perishable food supply for residents in care. The refrigerators and freezers are operating in a healthful manner. Pesticides and other cleaning solutions were kept locked and stored away from food areas. Care & Supervision : Facility has 24-hour, 7 days a week care staff. Staff working have criminal record clearances or exemptions through the Department. Record Review: The Licensee's Administrator's certification expires on 8/15/2024. (3) staff files reviewed were observed to be complete. (3) resident files were reviewed. Resident #1 (R1) did not have examination results for tuberculosis on file. Medical Related Services : All medications were centrally stored and kept in a locked cabinet inaccessible to residents in care. A deficiency is being cited per Title 22, Division 6 of The California Code of Regulations. An exit interview was conducted where a plan of correction and reports (LIC809/LIC809-D/LIC9102) were discussed with Licensee Anderson. Copies of the Licensing reports with Appeal Rights were provided to the Licensee at the conclusion of the visit.