Routine inspection·May 23, 2024

On 5/23/24, LPA Grace Donato conducted an unannounced annual visit to the facility. LPA met with the House Supervisor Yongchuan Ruan, LPA explained the purpose of the visit. LPA toured the facility inside and outside including a random sample of resident rooms, common areas, and kitchen area. LPA observed some residents were at the dining area eating. While touring the facility it was observed that the temperature was at 69deg F. Hot water was also tested in the resident apartments and the temperature was 110 deg F. The residents have adequate amount of linens and incontinence care items. All personal belongings are intact. Carbon monoxide monitor is working properly. All fire extinguishers have been checked and current. Facility has a sprinkler system. Resident bedrooms and bathrooms were observed to be in good repair. There is adequate amount of food, 2 days for perishables and & 7 days non-perishable. Chemicals & sharps are locked. Four resident records and four staff records were reviewed. Three out of four resident records does not have an updated LIC602 (Physicians Report). Medication review was done, and all medications are accounted for, and centrally stored medication records are updated. Facility doesn't have an evacuation chair in the stairwell. LPA requested the following documents: LIC308, Liability Insurance, Copy of Administrator Certificate, Control of Property, LIC610. Deficiencies of the California Code of Regulations, Title, 22 cited on the LIC809-D. Failure to correct the deficiencies may result in civil penalties. Report is reviewed and a copy is provided with appeal rights.