Routine inspection·September 16, 2024

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required comprehensive annual inspection. LPA met with Administrator, George Karkaletsis, and was granted entry to the facility. The facility is a Residential Care Facility for Elderly (RCFE) with a license capacity of (6), and a current census of (6). 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's outdoor activity space is shaded and protected by self-latching gates. The facility is maintained at a comfortable temperature. Resident bedrooms were furnished with beds, night stands, chairs, bed linen and bedroom lighting. Resident bathroom fixtures were operating properly. The hot water temperatures in the bathrooms measured at 107.7 degrees F. The facility is equipped with operating smoke/carbon monoxide alarms, laundry equipment, and telephone service. The facility has posted in a common area: Ombudsman poster, facility license, evacuation plan and emergency telephone numbers. Sharps and cleaning supplies were kept locked and inaccessible to residents in care . The facility's insurance and emergency disaster plan is current. Food Service: The facility's kitchen area was maintained cleaned. Non-perishable and perishable food supply was sufficient for number of residents in care. The facility’s refrigerator and freezer were operating properly. Care & Supervision: The facility staff schedule reflects 24 hours a day, 7 days a week staff coverage. Health Related Services: Resident medications were centrally store in a locked cabinet; however, resident #1 (R1's) and resident #2 (R2's) medications were stored in a weekly pill container and not in their original containers. LPA observed two (2) medications belonging to R1 that were not on their medication list. Deficiencies cited. Record Review: Resident files were reviewed for admissions agreements, physician’s reports, preplacement appraisals, needs and services plans. LPA observed Resident #3 (R3's) hospice plan does not accurately state the condition of R3's need for hospice services. Staff files reviewed had First Aid/CPR certifications, criminal record clearances, training, and health screenings. Based on LPA observations and records reviewed, deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted where this report was discussed and a copy with appeal rights was provided to the Administrator at the conclusion of the visit.