Routine inspection·June 14, 2021

Licensing Program Analyst Albert Johnson arrived unannounced to conduct an Annual inspection. LPA met with Lakhveer Kaur and explained the purpose of the visit. Later joined by Leslie Anderson Administrator. LPA inspected the physical plant with including but not limited to the kitchen, bedrooms for residents, resident bathrooms, laundry area and general assembly area. LPA observed the facility to be free of odor, clean and in good repair. LPA observed sufficient furniture and lighting throughout the facility. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Hot water temperature was measured at 117.9 degrees Fahrenheit, which is within the required range of 105 to 120 degrees. Fire extinguishers and smoke detectors are current and in compliance with fire safety. However the fixed or Ansul system is out of compliance; the system was due for service on May 17 2021. LPA observed centrally stored medications and toxins are kept locked and inaccessible to residents. LPA reviewed and compared resident medication vs. resident medication logs. During the medication review LPA and Director of Resident Care observed medication for R1 without a pharmacy label as well as not being logged into the Centrally Stored medication Log. Also observed were medications for PRNs/over the counter medications for 2 of 3 residents (R2 and R3) reviewed without a label with required information. LPA reviewed resident and staff files, including criminal record clearances. All staff are fingerprint cleared and associated to the facility. Per California Code of Regulations, Title 22 Division 6, Chapter 8, deficiencies were observed and cited during this visit. Exit interview held with Director of Resident Care and a copy of report given and appeal rights at the conclusion of the visit.