Routine inspection·March 20, 2025

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required comprehensive annual inspection. LPA met with Breeana Redwine, Administrator, and discussed the purpose for the visit. The facility is a Residential Care Facility for Elderly (RCFE) with a license capacity of (10), and a current census of (10). LPA conducted a general inspection of facility, which included, but was not limited to, the following: Operation/Physical Plant: Indoor and outdoor passageways were kept free of obstruction. The facility has no swimming pools or similar bodies of water. The facility has sufficient indoor and outdoor space for resident activities. The facility is maintained at a comfortable temperature of 74 degrees. Resident bedrooms were furnished with beds, bed linen, nightstands, chairs, and sufficient lighting. Resident bathrooms were maintained clean and equipped with grab rails. The hot water temperature in one of the resident's private bathroom measured at 126 degrees F. Deficiency cited. The facility is equipped with smoke detectors and carbon monoxide alarms, fully charged fire extinguishers, laundry equipment, and telephone service. The facility has posted in a common area Community Care Licensing complaint poster, Ombudsman poster, facility license, evacuation sketch and emergency telephone numbers. Sharps were kept locked and inaccessible to residents in care. The facility staff schedule reflects 24 hours a day, 7 days a week staff coverage. Food Service: Kitchen and dining areas were maintained cleaned. Non-perishable and perishable food supply was sufficient for number of residents in care. Cups, plates, and utensils were sufficient for number of residents in care. The facility’s refrigerators and freezers were operating properly. Health Related Services: The facility staff centrally store resident's medications in a locked cabinet. LPA observed in Resident #1 (R1's) medication caddy, pills stored in illegible labeled bottle. LPA was not able to determine the name of resident, medication name, dosage, and expiration dates on the bottle. LPA also observed in R1's medication caddy, (3) unlabeled pills in a plastic container. The Administrator stated the pills were R1's afternoon medications which were transferred into the container. Deficiency cited. ***continued on next page*** Record Review: Resident files reviewed had admissions agreements, physician’s reports, appraisals, needs and services plans. Staff files reviewed had First Aid/CPR certifications, criminal record clearances, training, and health screenings. The Administrator’s certification, facility’s insurance and emergency drill training are up to date. During today's visit, deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted where reports (LIC809 & LIC809D) were discussed and copies provided with appeal rights to Administrator Redwine at the conclusion of the visit.