Routine inspection·July 31, 2023

Licensing Program Analyst (LPA) Michelle Echeverria made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Medical Technician Supervisor, Erwina Amore and was granted entry to the facility. The facility is a Residential Care Facility for Elderly (RCFE) licensed capacity for (64) current census (46). LPA was accompanied by Erwina Amore to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature 76 degrees fahrenheit. Water temperature measured at 106.1 degrees fahrenheit. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating fire extinguishers, smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated storage space for residents/staff files. Medications were kept in Med-Room inaccessible to residents. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. LPA observed (4) staff members working in the facility that do not have criminal record clearance through the department and (2) staff that do not have a transfer of criminal record clearance which are not associated to the facility. Deficiencies with civil penalties issued. Record Review: LPA reviewed (3) residents files for admission agreements, updated physician reports, and needs and services plans. LPA also reviewed (4) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. Medications were not audited due to time management. Based on the observations made during today’s visit, deficiencies with civil penalties were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report LIC809, LIC809C, LIC809D, LIC421BG and appeal rights were discussed and provided to Administrator, Terronsay Whaley who later arrived.