Post-licensing visit·November 17, 2022

On 11/17/22 at 10am Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to conduct a post licensing inspection. LPA Jensen met with care provider Susan Bristow and explained the purpose of today's visit. The Licensee, Administrator and designee where not available for the inspection. LPA Jensen toured the physical plant and the grounds. The facility was observed to be clean and free of odor. LPA Jensen observed the facility to be adequately furnished and have adequate lighting. The knives were observed to locked and inaccessible to residents in care. The medications, toxins and sharp objects were observed to be locked and inaccessible to residents in care. The fire extinguisher was installed in May of 2022 and is in compliance. The grounds were observed to be well maintained and free of debris. There are no obstructions observed on any pathways. There are no bodies of water on the grounds. The water temperature in the bathroom was measured at 103.5 degrees which falls outside of the required regulatory range of 105-120 degrees. LPA Jensen observed a 7 day supply of perishable food and 2 day supply of non-perishable food on hand. LPA Jensen interviewed a family member of 1 resident and interacted with 3 of 3 residents. LPA Jensen reviewed the Medication Administration Record and observed missing entries on 3 of 3 resident records. The care staff working with LPA Jensen did not have access to staff files therefore they were not reviewed. The infection control tool was used during the course of this inspection and technical assistance is being provided. Deficiencies are being cited from the California Code of Regulations, Title 22, Division 6. Failure to correct deficiencies may result in civil penalty assessment. An exit interview was conducted and a copy of this report and appeal rights was given to Susan Bristow.