Routine inspection·November 13, 2023

Licensing Program Analyst (LPA) Albert Johnson arrived unannounced to conduct an annual inspection. LPA met with G Monares (LVN) and explained the purpose of the visit. Later joined by Zach Butcher. There was no current certified RCFE Administrator during this inspection. LPA inspected the physical plant with G. Monares including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, activity room, and outside courtyards. 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 degrees Fahrenheit in resident bathroom sink, which is within the required range of 105 to 120 degrees. The bus used to transport residents does not have the required license number which is required identifying information.(Advisory given). Also observed was the elevator is out of compliance with work that is needed to get permit to operate.(Advisory given). Fire extinguishers and smoke detectors/carbon monoxide detectors are operational. LPA observed centrally stored medications are kept locked and inaccessible to residents. LPA reviewed and compared resident medication vs. resident medication logs. During the medication review LPA and LVN observed that R1 and R2 had missed doses of medications on multiple days. LPA reviewed 15 resident and 5 staff files, including criminal record clearances. During the staff file review LPA observed a missing health screening for S1. All staff are fingerprinted and cleared. First aid kit was checked and is complete. Deficiencies were cited pursuant to Title 22 rules and regulations, Health and Safety Codes. Exit interview conducted