Routine inspection·October 21, 2023

Licensing Program Analyst (LPA) Christina Valerio arrived unannounced to the facility to conduct an annual required inspection. LPA met with facility staff Fernando, and explained the purpose of the visit. LPA was later met by current Administrator Margie E Valeria. Previous Administrator Stella Chang is no longer than administrator but is still the licensee of the facility. Based on an interview with Administrator Margie, Margie was appointed in 2017. Margie has an active Administrator Certificate: #6047120740 Exp. 02/22/2024. LPA and facility staff toured the facility physical plant to ensure compliance with Title 22 regulations. The facility is a two story building. The stairs were equipped with a evacuation chair, which was observed to be in working condition. LPA observed bedrooms to have necessary furniture, to be in clean condition, and free from odors. Bathrooms were fully stocked with toilet paper, paper towels, soap, trash can, and skid mats. Faucets in the bathrooms delivering hot water measured a temperature of 115.3*degrees F, which is within the regulatory range. Common areas were observed to be clean and free from debris. Facility has nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days. LPA observed medication cabinets on both floors to be unlocked. Facility staff locked the cabinet once LPA asked them to lock them up. LPA Valerio observed a pull alarm system with an inspection date of 03/06/23, fire extinguisher(s) with last check on 10/12/22, and smoke and carbon monoxide detectors. No emergency exits were obstructed. LPA reviewed resident and staff files. LPA observed 4 staff files to be up to date and training files to be current. All staff were observed to be fingerprint cleared. 3 out of 4 resident files reviewed were observed to be incomplete. Residents were observe eating their lunch (chicken/fish, vegetables, rice, fruit, and drink), watching football, reading the paper, being assisted with ADLs, listening to gospel music, enjoying the weather in the backyard. LPA requested the following updated copies to be sent to the Regional Office: LIC 500, LIC 308 Designation of Administrative Responsibility, Liability Insurance, Proof of Control of Property, LIC 9282 Infection Control Plan, and LIC 610D Emergency Disaster Plan Per the California Code of Regulations, Title 22, Division 6, deficiencies were observed or cited on the LIC 809-D page. Appeal Rights provided. Exit interview held and a copy of the report was provided.