Routine inspection·June 13, 2023

On 6/13/2023, Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. LPA met with administrator and explained the purpose of the visit. Administrator provided a tour of the facility and LPA observed the facility to be cleaned, tidy and in good repair. On the ground level, there are common areas, kitchen, offices, medication room, living room, activity room and 2 bathrooms. On the 2nd floor, there are 14 bed rooms (some shared and some privates), 2 shower/bathrooms, 1 bathroom, electrical room, supply storage room, etc. Bedrooms were equipped with the required furniture for residents to use. Bathrooms/shower rooms are equipped with grab bars, and nonskid mats. Facility temperature is comfortable. Hot water temperature was measured at 106- 112 degrees F. Facility is equipped with smoke (in every room) and carbon monoxide detectors. Fire extinguishers were last serviced on 1/23/2023, and 1/17/2023. During the facility tour, LPA observed the kitchen door was open with no staff present and the sharps cabinets were not locked. LPA observed medication cabinets were locked and inaccessible to residents. LPA conducted staff and resident interviews and file reviews. 4 resident records were reviewed and observed to have medical assessments signed by a medical professional, completed pre-admission appraisals, completed admission agreements , and LIC602 reports. 3 staff files were reviewed and appeared complete. Staff members at the facility were fingerprint cleared and associated to the facility. Centrally stored medication process were reviewed. In reviewing facility disaster process, LPA observed facility failed to complete the fire/emergency drills as required. Based on observation, deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in civil penalties. This report is reviewed and discussed. A copy of this report and Appeal Rights will be provided due to technically difficulties.