Routine inspection·August 3, 2022

Unannounced annual visit made out to this facility on 08/03/2022 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility kitchen staff person, Apol Santos, and caregiver Nick Carbonell. Mr. Carbonell stated that there was also another caregiver present named Adrianna Sanchez-Garcia. He informed this LPA that they have only been employed for one month here so far. This LPA requested that the caregiver go ahead and contact the facility designated Administrator, Joy Laja, to inform her that CCL was present at this time for an annual visit. The facility designated Administrator arrived later to this facility while this LPA was conducting the annual review. Current census was 7 residents. There were hospice residents in care at this time. In addition, there were residents who required assistance with glucose monitoring and diabetes related tasks everyday. Tour of this facility was conducted. Living room, dining room, and all other areas intended for resident use were toured. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. Kitchen area was toured. Food storage units were reviewed to make sure that they were functional and in good repair at all times. A review of the food supply was conducted for adequate 2-day perishable and 7-day nonperishable quantities at all times. An additional food storage unit was used and placed in the garage area. Garage area was toured. The car of the facility designated Administrator was placed in there at this time as she had just arrived while this LPA was reviewing the garage area. A tour of the facility resident bedrooms was conducted. Bedroom furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. A tour of the facility 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. Fire extinguishers, located throughout this facility, were observed to have been annually inspected by the local fire extinguisher company, Nor Cal Fire, and observed to be in compliance at this time. Linen closet was observed to contain a sufficient supply of blankets, towels, and linens sufficient to meet the needs of the residents at this time. First aid kit, located in the kitchen area, was reviewed and observed to contain all of the required components at this time. Medication cart, located in the kitchen area, was reviewed. Brief interview was conducted with the facility designated Administrator Joy Lajas. Tour of the facility exterior grounds was conducted. A review of the facility perimeter fence, side gates, and emergency exits was conducted. There was a total of (4) storage units/areas being used at this time to house old mattresses and furniture for this facility at this time. 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 facility designated Administrator at this time. Exit Interview