Routine inspection·August 27, 2024

On 8/27/2024, Licensing Program Analyst(LPA) Dominic Tobola and LPA Yi Sam Jian conducted an unannounced annual inspection. LPAs were greeted by the administrator, Janet Spires(S1) and staff Damien Spires(S2) at 10:10 AM. LPA explained the purpose of the visit . Also present were home care aide Jacqueline Lafleur, staff Karen Lopez, and 4 residents: some with dementia. LPA Tobola and LPA Jian toured and inspected the physical plant with S2 including but not limited to the kitchen, three bedrooms for residents; one bathroom; laundry area, basement and backyard area. All outdoor and indoor passageway are free and clear of obstruction. LPA observed sufficient furniture and lighting throughout the facility, and a comfortable temperature of 75 degrees F is maintained . Trash cans were observed to have touch free operated lids. All beds are at least 6" apart from each other. Hot water temperature was measured at 110 degrees Fahrenheit in resident bathroom sink , which is within the required range of 105 to 120 degrees. Auditory alarm required for resident with dementia were not operable during inspection. No accessible bodies of water or fire safety hazards observed . Fire extinguishers were found to be last serviced and inspected on September 8, 2023 . Carbon monoxide detector and smoke detector system were last inspected by outside vendor on 03/2023 in the hallway. Facility has a written emergency disaster plan. Licensee stated there are no firearms or ammunition at the facility. Licensee has at least one completed first aid kit located in the kitchen. Centrally stored medications are locked in a cabinet near the kitchen entrance in the first floor. Each room is equipped with a bed for each resident working lights and a night stand. Toxins and sharps are stored appropriately and inaccessible to clients. There were sufficient supply of both perishable and nonperishable foods . Food stored in the kitchen refrigerator were properly stored. Infection control practices are reviewed: PPE supply and the environmental cleaning supply are adequate; bathrooms are equipped with soap. During resident file review, LPA found that 3 out of 4 residents needs and services plan and physician reports were in need of updating. LPA found that 2 staffs (S3) (S4) were fingerprint cleared, however not properly associated to the facility. Administrator had submitted request to update facility roaster but pending association. In addition, 2 staffs (S3) (S4) health screen were not on file. Staff training were also in need of updating, technical violation issued. Deficiency cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12-month period may result in civil penalties.