Routine inspection·August 17, 2024

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Anchalee Phumirat, Licensee and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE). License capacity of (6) with a current census of (6) residents. LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: Indoor and outdoor passageways were free of obstruction. The facility as no swimming pool or outdoor bodies of water. The facility has a covered outdoor patio area and self-latching backyard gate. The facility has sufficient lighting and is maintained at a comfortable temperature. Fireplace is adequately screened. The facility has operating fire/carbon monoxide alarms and telephone service. Posters such as personal rights, Ombudsman telephone number, Community Care Licensing complaint telephone number, emergency disaster plan, and emergency phone numbers were posted in a common area. Sharps and cleaning solutions were kept locked, inaccessible to residents in care. Review of facility's emergency drill training reveals, last staff training was conducted in July 2023. Kitchen and dining areas were maintained clean. The facility’s refrigerators had sufficient space for food storage and maintained in healthful manner. The facility has sufficient non-perishable and perishable food supply for the number of residents in care. Facility has sufficient cups, plates, and utensils for resident use. Resident’s bedrooms were equipped with beds, bed linen, nightstands, chairs, storage space, and sufficient lighting. Resident’s bathrooms were equipped with grab rails and operating in safe and sanitary condition. The hot water temperatures measured at 117 degrees F. Resident's medications were centrally stored in a locked cabinet; However, review of residents medication records reveals records a not current . The administrators stated that some of Resident #1( R1s) prescribed medications are temporarily not being administered to R1 due to their effects on R1; However, there is no documentation to of the effects or doctors/nurses orders to stop administering the medication . Facility staff records reviewed had First Aid Certifications, fingerprint clearances/exemptions, health screenings, and training. LPA review of resident's records reveals Resident #2 (R2) did not have have tuberculosis results on file. Deficiencies were cited during today's visit per the California Code of Regulations and Health and Safety Codes. An exit interview was conducted, where this report was discussed and a copy was provided to the Licensee with Appeal Rights at the conclusion of the visit.