Routine inspection·September 26, 2024

On 9/26/2024, Licensing Program Analyst (LPA) Janette Romero made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Administrator, Chen Lee who was informed of the purpose of the visit. The facility has a fire clearance for six (6) non-ambulatory elderly residents. The facility also has an approved hospice waiver for one (1) and LPA was informed Resident 1 (R1) and Resident 2 (R2) are receiving hospice services at the facility. During the visit, there was three (3) staff and six (6) residents present. LPA toured the facility with Caregiver, Norma Tosoc and reviewed records. During the tour, LPA observed indoor and outdoor pathways were free of obstructions. The facility has an in-ground swimming pool in the backyard that secured with a locked fence. Outdoor shaded seating is available for the residents in care. LPA toured the kitchen and observed the facility has a 2-day supply of perishable foods and 7-day supply of non-perishable foods, all stored in a safe and healthful manner. Medications are secured in a locked kitchen cabinet. LPA and Caregiver Tosoc reviewed the physical medications for three (3) residents along with their Medication Administration Record for September 2024 and did not discover any discrepancies. Caregiver Tosoc tested one (1) of the smoke alarms/carbon monoxide detectors and LPA observed it to be operational. LPA also observed a charged fire extinguisher mounted near the kitchen. Staff present have a criminal record clearance. During today's visit, the facility was cited for violation of their current hospice care waiver. An exit interview was conducted and a copy of this report was reviewed and provided to Administrator Lee along with an LIC 809-D, Confidential Names List (LIC 811) and Appeal Rights.