Routine inspection·September 18, 2024

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required comprehensive annual inspection. LPA met with staff, Blanca Gonzalez, 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 (5). 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 backyard activity area shaded and surrounded by a self latching gate. Resident bedrooms were furnished with beds, night stands, chairs, bed linen and bedroom lighting. Resident bathrooms were maintained clean and fixtures were operating properly. The hot water temperatures in the bathrooms measured at 111 degrees F. The facility is equipped with operating smoke detectors and carbon monoxide alarms, laundry equipment, and telephone service. The facility has posted in a common area Community Care Licensing complaint poster, Ombudsman poster, facility license, evacuation plan and emergency telephone numbers. Sharps were kept locked; however, LPA observed cleaning solutions (comet abrasive powder) in resident's unlocked bathroom cabinet and in an unlocked kitchen cabinet. Deficiency cited. Food Service: Kitchen and dining areas were 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 has 24 hours a day, 7 days a week staff coverage. Health Related Services: Resident medications were centrally store in a locked cabinet. LPA observed that resident #1 (R1) medication log was not up-to-date. Staff did not log R1's pm medications on several days. LPA also observed that resident #2 (R2) was not given their medication as prescribed. R1's prescribed medication from 9/7 was still in the medication packet and staff logged medication as given on that day. Record Review: Resident files reviewed had admissions agreements, physician’s reports, preplacement appraisals, needs and services plans. Staff files reviewed had First Aid/CPR certifications, criminal record clearances, training, and health screenings. The facility’s liability insurance and emergency drill training are up to date. 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 and corrections plans were discussed. Copies of the reports were provided with appeal rights to staff Gonzalez at the conclusion of the visit.