Routine inspection·August 28, 2023

On 08/28/23 at 9:29 a.m. Licensing Program Analyst (LPA) Cheryl Goodrich arrived to conduct an unannounced annual visit. LPA met with Director Sal Jimenez and was granted entry. The purpose of today’s visit is to inspect the facility to ensure that the facility is following California Code of Regulations, Title 22, Division 6. The facility is approved for one hundred and sixty (160) ambulatory and non-ambulatory residents, having 138 residents in care. Infection Control: The facility has an approved infection control plan and a surplus of supplies for infection control including but not limited to mask, gloves, gowns, first aid kit, cleaning supplies, protective eye equipment and cleaning supplies. Physical Plant and Environmental Safety : The facility has bedrooms with bathrooms for each resident, a kitchen, living room, office area, a walled pool area, independent living computer room, fitness center, laundry area, salon and a memory care area. All a kitchen, living room, office area, a walled pool area, independent living computer room, fitness center, laundry area, salon and a memory care area are all clean and clear of obstruction. The resident bedrooms were clean and clear from obstruction. The resident’s rooms were complete with and clean linens and bedding, a television, dresser, and closet space. There is a pool on the premises that meets the height requirements for the facility. Operational Requirements: The facility was staffed with 25 staff to assist residents. The facility meets the operational requirements for an RCE and has a current fire clearance for the facility, smoke and carbon monoxide detectors and fire extinguishers. (Continued on LIC809-C) Personnel Records-Training: All staff have fingerprint clearances, current CPR/First Aid certification, Health screen and TB test completed. All staff complete monthly in-service training and fire-drills and disaster training. Client Records-Incident Reports: The resident records are complete with pre-assessments, admissions agreement, identification and emergency information,house rules, medication log, daily logs of the resident’s health condition, and additional medical assessments. Client Rights-Information: The resident’s right documentation is present. The resident records also contain needs assessment information for each resident. Food Service: 7-day non-perishable and 2 day of perishable food supply was observed, and all food was properly stored and available to residents upon request. Health- Related Services: The caregivers at the facility are dispensing medications within the guidelines of the physician’s order and the regulations. The facility is documenting the date and time of the dispensing of medication for each resident. Disaster Preparedness: The facility has a disaster plan and has posted the evacuation plan, visible for staff and residents in care. The last fire drill was completed 08/08/23. The facility has emergency supply of food and water. Deficiencies: LPA reviewed resident’s records and found there are 7/10 resident records that do not have current physician’s reports for the year. Based on the reviewed records a deficiency is being cited. Summary: Deficiencies are being cited per Title 22, Div. 6, Chap 8 and listed on LIC 809-D. An exit interview was conducted, Appeal Rights (LIC 9098 01/16) along with a copy of this report was provided to Director Sal Jimenez and his signature on this form confirms receipt of these rights.