Routine inspection·January 12, 2024

Licensing Program Analyst (LPA) Amy Rodgers, made an unannounced visit to conduct the required One-Year Inspection. LPA Rodgers was granted entry into the facility by Executive Director Adrian Guillen, after identifying herself and stating the purpose of the inspection. The facility serves 219 ambulatory elderly residents, age 60 and above, of which 33 may be non-ambulatory and 8 may be bedridden. There is an approved Hospice Waiver for 8 residents. This is a multi-unit complex including bungalow units as well as 2 buildings designated for a higher level of care. LPA was accompanied by Executive Director Guillen, during a tour of the facility, which was conducted inside and out and included a sample of resident units, the dining area, recreation rooms, and food storage areas. There is a fire signal system in place and the carbon monoxide detectors were operational. The last disaster drill was conducted on December 2023. Exterior and interior passageways were free from obstructions. According to executive Director Guillen, there are no weapons and/or ammunition stored on the premises. Pull cords were available in each resident units as well as personal pendants. LPA Rodgers observed functionality of signal system. Resident's room temperatures were within a comfortable range. Each resident had clean and sufficient bed linens, towels, and washcloths. All residents’ rooms were equipped with required furnishings. Lighting was present in the bedrooms. Residents’ bathrooms were observed to be sanitary and operational. Toilets and showers were equipped with grab bars, and non skid mats were present in some residents’ showers. Hot water temperature in residents’ bathrooms were compliant. [Continued on 809-C] [Continued on 809] Facility has a two-day supply of perishable and a seven-day supply of nonperishable food items. Food supply is replenished frequently by outside vendors. Food was observed to be properly stored and labeled. Food menus and activities schedule were posted. Chemicals and cleaning supplies were stored in a locked room. The medication room is located in the higher level of care buildings and in which the medication carts are located. Medications were labeled and kept in compliance with label instructions. LPAs interviewed multiple staff and clients. LPA reviewed multiple staff and client records/files. The interviews did not raise any significant licensing concerns. The reviewed files contained all required documents. LPA Rodgers also conducted a review of In-service training procedures. Confidential records were stored in locked areas. LPA observed that residents were being treated with dignity by staff, and there were sufficient staff on duty to meet resident’s needs. No defiencies were issued at the time of th evisit, however there were advisory notes issued. An exit interview was conducted and a copy of this report,Licensee/Appeal Rights - LIC 9058 (rev. 01/16), and the 9102TA, were provided to the Executive Director Guillen, whose signature on this form acknowledges receipt of these documents.