Routine inspection·October 16, 2024

Licensing Program Analyst (LPA) Sara Martinez conducted an unannounced annual required visit. LPA was granted entry and met with Administrator Eric Melad who was informed of the purpose of today's visit. At the time of the visit there was two (2) staff and two (2) residents present. LPA conducted a tour of the interior and exterior, reviewed facility documents and conducted interviews. LPA observed the following: Physical plant, floors, windows, and doors were observed to be clean. Fixtures and furniture were in good repair were present. LPA observed outdoor furniture and shaded area for clients. Facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. LPA observed the facility met the required 2-day supply of perishable and 7-day supply of non-perishable foods. LPA reviewed staff files and training. Records review for Staff One (S1) and Staff Two (S2) revealed S1 and S2 have not conducted the required twenty (20) hours of annual training. A deficiency will be issued under Health and Safety Code 1569.625(b)(2) along with a plan of correction. Records review revealed S1 and S2 do not have a current CPR and first aide training on file. A deficiency will be issued under Health and Safety Code 1569.618(c)(3) along with a plan of correction. Two resident files were reviewed and possessed all required paperwork which included Admissions Agreement and updated Physician's Report. The listed administrator does not have a current and/or pending administrator certificate with the last administrator certificate expiring in 2023. A deficiency will be issued under Title 22 Regulation 87405(a) along with a plan of correction. Resident medication was centrally stored and locked in a closet located in a kitchen cabinet. LPA observed Resident One (R1) medication that require refrigeration stored in the kitchen's refrigerator with the facility's perishable foods and was accessible to residents in care. A deficiency will be issued under Title 22 Regulation 87465(h)(1)(A) along with a plan of correction. LPA reviewed medications prescribed to two (2) residents and found R1's PRN medication had been administered without the facility staff documenting the date and time the PRN medication was given. A deficiency will be issued under Title 22 Regulation 87465(d)(3) along with a plan of correction. LPA reviewed the facility's emergency and disaster plan and infection control plan. Records review and interview with S1 revealed facility has not conducted the required quarterly fire drill this year. A deficiency will be issued under Health and Safety Code 1569.695(c) along with a plan of correction. LPA observed emergency supplies in the garage, a charged fire extinguisher, and first aid kit with all required items. An exit interview was conducted where a copy of this report, LIC 809-D, LIC 811, and appeal rights was provided to Administrator Melad.