Complaint·February 25, 2022

The exterior covered patio overhang was observed to have exposed wires adjacent to the emergency exit door. The resident patio sidewalk leading to the southside of the building was observed to have a garden hose laying across the path which creates a tripping hazard for residents. A broken electrical outlet was also observed on the path leading to the southside of the building. LPA Jensen observed the rear of the southside of the building has overgrown grass, a pile of dirt and debris and heavy machinery that is exposed and accessible to the residents. The roof of the southside of the building was observed to be missing a tile. LPA Jensen observed 5 window screens on the first level that were torn and not in good repair. In the interior of the facility LPA Jensen observed the following: Dining hall baseboards that had peeling paint, cracks and were seperating from the wall. Two spiders near the cracked baseboards in the dining hall south corner. Walls in the dining room with holes in the drywall Uneven transition strip not in good repair by emergency exit door in the dining hall causing a tripping hazard Several floor boards in the dining hall not in good repair An electric outlet with a cover not installed properly A camera on the ceiling between the dining hall and front desk with exposed wires A ceiling tile by the activity room next to the stairs with water damage and mold Resident 1's room was observed to have a fire alarm with exposed wires Resident 1's room was observed to have a bent screen that was not in good repair The Administrator confirmed the facility had at least two known cases of bed bugs which started February 18. The Administrator advised a pest service was called out to the facility on February 21 and the facility is waiting to receive the pest control report which has been delayed due to bereavement leave of pest control staff. Off duty personnel was observed entering the facility without a mask and without signing in or being screened. Continued...... Moreover, during the complaint investigation visit, LPA Jensen shadowed facility staff 1 (S1) delivering tray service at lunch. At 12:06pm lunch was delivered in room to resident 3 (R3), at 12:07 lunch was delivered in room to resident 4 (R4) and S1 called another staff member (S2) to feed R4, S2 arrived within 4 minutes minutes. At 12:12pm lunch was delivered in room to resident 5 (R5), at 12:16pm lunch was delivered in room to resident 6 (R6). When lunch was delivered to R6, R6 complained of pain and S1 called staff 3 (S3) on the radio to respond. S3 did not arrive to the room of R6 until 12:44pm and at that time R6 received pain medication. As a result of S3 being occupied with other residents, R6 had to wait 28 minutes for pain medication. As a result of this visit, the following deficiencies were cited, per Title 22 Regulations. The deficiencies were cited on 9099-D. Immediate civil penalty of $500 for not ensuring the personal rights of persons in care to safe and healthful accommodations i s being issued on February 25, 2022. REPEAT VIOLATIONS 1. Violation of California Code of Regulations Section 87303(a). A previous licensing report was issued on 1/24/22 giving notice of the same violation. A $1000 civil penalty was issued on today's visit of 2/25/22. An exit interview was conducted and a copy of this report was given with appeal rights.