Routine inspection·January 8, 2024

Licensing Program Analyst (LPA) Ruth Wallace conducted unannounced required 1 year annual inspection visit. LPA met with administrator and explained purpose of visit. LPA and administrator inspected the physical plant including but not limited to the kitchen, dining room, client bedrooms; client bathrooms, laundry room, activity room, and outside courtyards. LPA observed sufficient furniture and lighting throughout the facility. LPA observed sufficient seven day non-perishable and two day perishable food supplies. LPA measured the hot water temperature in client's bathroom at 111.7 degrees Fahrenheit which is within the required range of 105 to 120 degrees. Fire extinguishers last inspected on 12/19/2023. Smoke detectors are operational. LPA observed centrally stored medications are kept locked and inaccessible to clients. LPA reviewed and compared client medication vs. medication logs. First aid kit was checked and is complete. LPA observed carbon monoxide detectors in the facility. The facility conducted fire/disaster drills with residents on 7/8/2023. Fire and earthquake drills shall be conducted every three months, so facility was not in compliance. LPA reviewed four resident files and four staff files, including criminal record clearances. A review of staff records indicates that all facility staff or other individuals who require caregiver background checks are Fingerprint cleared and associated to the facility. LPA verified staff training for staff file reviews. The following deficiency was observed (see LIC 809-D) and cited from the Health and Safety Code and the California Code of Regulations, Title 22. Failure to correct the deficiency may result in additional civil penalties. Exit interview held with administrator. A copy of reports, appeal rights, and LIC 811 (Confidential Names) were left at facility.