Routine inspection·August 4, 2022

Unannounced annual visit made out to this facility on 08/04/2022 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility Health and Wellness Director Analynn Madarang who was briefly interviewed. Current census was 61 residents. Tour of this facility was conducted. Living areas, dining areas, and all other areas intended for resident were toured and observed to contain adequate furniture and furnishings to meet the needs of the residents at this time. Kitchen area was toured. Food supply was reviewed for adequate 7-day nonperishable and 2-day perishable food quantities. Food storage units were reviewed. A tour of the resident rooms was conducted. Bedroom furniture and furnishings were observed to be sufficient and able to meet the needs of the residents. A tour of the resident restrooms was conducted. Grab bars and non skid mats were observed to be present and in good repair at this time. Hot water temperatures were taken and measured to make sure that they were within the allowed range of 105-120 degrees. Medication cabinets were reviewed in the main med room. It was learned that narcotics and all other medications were housed in medication carts that were used to store and dispense medications to the residents at this time. This facility employed a Medication Administration Record system to document and account for all of the medications being dispensed at this time. A brief interview was conducted with facility staff responsible for handling, dispensing, and documentation of the medications at this time. A tour of the facility memory care unit was not conducted at this time due to residents having COVID 19. Fire extinguishers, located and placed throughout the facility, were observed to have been annually inspected on 01/27/2022 by the local fire extinguisher company noted as Johnson Controls and in compliance at this time. A tour of the exterior grounds was conducted. A review of the perimeter fence and side gates was conducted. 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 left with the Health and Wellness Director at this time. The following forms and documents were requested to be updated and submitted into CCL: LIC 308 LIC 400 LIC 500 LIC 610 Exit Interview