Routine inspection·July 31, 2024

On July 31, 2024, Licensing Program Analyst(LPA) John Calandra arrived at the facility at 9:40 AM to complete the Annual 1-year required inspection. LPA Calandra was greeted by Sandy Ishii, Adult Day Care Program Coordinator and explained the purpose of the visit. Linda Ishii, Administrator arrived later during the visit. LPA Calandra toured the physical plant. This is a 2-story building with 14 bedrooms, 4 bathrooms, a kitchen, dining room, lounge, garden, foyer, staff offices, and recreation room. All bedrooms had the required furniture and sufficient lighting. The facility's thermostat was set at a comfortable temperature of 72.5 degrees Fahrenheit. Hot water temperature was measured at 114.8 degrees Fahrenheit within the required range. The facility had the required 7 days of non-perishables and 2 days of perishables on hand. No food was expired. The facility's fire extinguishers were last inspected on January 28, 2024 and all were observed to be fully charged. The facility's smoke detectors and carbon monoxide detectors were observed to be in working order. All soaps, detergents, and poisons were observed to be locked and in-accessible to persons in care. Knives, and other sharp objects were accessible to persons in care but locked in the presence of the LPA. This facility does not handle cash resources for clients. LPA Calandra reviewed Centrally Stored Medications Records(CSMR). A review of Centrally stored medications indicated that medications for residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication Records(CSMR) kept at the facility. LPA Calandra reviewed 5 client records and 5 staff records. All client records were observed to be missing the Annual Needs and Services Plan. All staff files were observed to be complete. A Type B violation was provided for not having Annual Needs and Services Plans for R1, R2, R3, R4, and R5. A Technical violation was also provided for not ensuring Appraisals are conducted for Dementia patients on an ongoing basis. LPA Calandra requested the following documents be sent to the Department: -Current Liability Insurance -Transportation Procedures Deficiencies are cited under California Code of Regulations, Title 22, cited on the LIC 809-D. Failure to correct the deficiencies may result in civil penalties. An exit interview was conducted. This report was reviewed with Linda Ishii, Administrator and a copy of the report left at the facility along with Appeal rights.