Routine inspection·July 17, 2024

Unannounced Annual visit made out to this facility on 07/17/2024 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility designated Administrator Sheryl Bravo. A brief interview was conducted with the facility designated Administrator at this time. This facility was not vendorized at this time to accept and retain any regional center clients at this time. Current census was 96 residents. It was learned that there were (10) residents under the care of hospice at this time. This facility has an approved hospice waiver to be able to accept/retain up to (25) residents at any given time. It was learned that there were (21) residents diagnosed with dementia at this time. It was learned that there were (12) residents receiving services through home health agencies at this time. A tour of this facility was conducted. Kitchen area was toured. Cabinets and drawers were reviewed. Food supply was reviewed for adequate 2-day perishable and 7-day nonperishable quantities at this time. Additional food storage units were observed to be present and in use at this time. A tour of the dining area, living area, and all other areas intended for resident use was conducted. Medication cabinet and supplies, located in the facility dedicated medication room, was reviewed. Policies and procedures involving dispensing, documenting, and overall administration of resident medications was discussed with the facility designated staff person at this time. This medication carts were observed to be locked and made inaccessible to the residents at this time. A tour of the resident bedrooms and restrooms was conducted. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. Hot water temperatures were taken and measured to make sure that they were within the allowed range of 105-120 degrees. Linen storage closets were observed to contain a sufficient supply of towels, blankets, and linens to meet the needs of the residents at this time. Laundry area was toured. Cabinets storing detergents and bleach were observed to be locked and made inaccessible to the residents at this time. Fire extinguishers, located throughout this facility, were observed to have been annually inspected on 04/02/2024 by the local fire extinguisher company, Edison Fire Extinguisher Inc, and in compliance at this time. Exterior grounds of this facility were toured. A review of the facility perimeter fence, side gates, and exits was conducted. A review of (8) facility resident records was conducted and noted on the following LIC 858 form. A review of (8) facility staff records was conducted and noted on the following LIC 859 form. The following forms and documents were requested to be updated and submitted into CCL: LIC 308 LIC 400 LIC 500 LIC 610 The following deficiencies were observed and cited on the following LIC 809-D pursuant to Title 22 Rules and Regulations, Health and Safety Codes. Appeal rights were printed and a copy was given to the facility designated Administrator at this time. Exit Interview