Routine inspection·October 10, 2024

On 10/10/2024, Licensing Program Analyst (LPA) Tobola conducted an unannounced Annual Required – 1 yr. inspection for this facility and was greeted by Executive Director, Chantelle Hudson & Business Office Director, Angie Esplana. The facility currently provides care for 46 residents, 2 of which are receiving hospice services and some of which with a diagnosis of dementia. LPA continued with a tour of the facility with staff, facility found to be clean and at a comfortable temperature with all exits free from obstruction. Resident’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguishers located on each resident floor, kitchen and common spaces were found to be charged. Smoke and carbon monoxide detectors and fire safety systems were present and recently serviced by fire inspection agency. There was a sufficient supply of both perishable and nonperishable foods as required, with food stored in the kitchen, sufficient for residents in care. Food supply is replenished constantly throughout the week and stored properly. Facility provides a wide variety of meal preferences and preparation while also ensuring proper dietary restrictions are followed. Cleaning supplies and other toxins are safely stored in locked closets throughout each floor, and housekeeping carts all of which were secured upon inspection. There was a supply of hygiene products and paper products available for residents. All resident’s bedrooms have lighting & appropriate furnishings and bedding items. During inspection LPA observed a maintenance cart containing power tools and other items that could pose potential safety risk located in the 5th floor stairwell. Each stairwell exit is unlocked but has a auditory alarm when opened. No residents were observed on the floor or near the maintenance cart when found. Maintenance staff immediately removed and secured items. Residents that were out in the community during the inspection were observed interacting with staff, fellow residents and visitors in the common areas. The facility encourages regular family visits and utilizes a variety of activities with LPA observing residents utilizing activity spaces and items. There is a single outdoor patio for resident use, all equipped with appropriate shading Continued onto LIC809-C LPA conducted a sample file review for residents and found all items to be in order including needs & service plans and physician's reports. Upon a spot check of staff files, LPA found that caregiver staff have current 1st aid and CPR completed. Executive Director and Business Office Manager are currently in progress to complete all staff annual training records. Facility utilizes Allen Flores approved training vendor with training records currently over 50% completed. Executive Director agreed to provide proof of completion for all required training by 11/6/2024. Technical Violation issued. Lastly, A spot check of medications including narcotic was conducted and found that all medication counts and records to be in order. Chantelle Hudson's Administrator Certificate is currently active through 7/17/2025. LPA requested the following documents be sent to CCL by COB 10/24/2024: LIC 308 Designated Facility Responsibility LIC 500 Personnel Summary LIC 610 Emergency Disaster Plan Liability Insurance 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.