Routine inspection·March 17, 2022

Licensing Program Analyst Albert Johnson arrived unannounced to conduct an Annual inspection. LPA met with the 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 112.9 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. 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 that the facility is not following the Doctor's order for PRN medication administration. R1 and R2 were given PRN medication without notifying the primary care Physician, The PRN letter in both residents file request that the Primary care physician (PCP) be notified prior to giving the PRN medication. The facility did not notify the PCP for R1 or R2 prior to giving medication on multiple occasions. This information was reviewed in the residents medication administration record. LPA reviewed 10 resident and 5 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 and a copy of report given with appeal rights at the conclusion of the visit.