Post-licensing visit·June 7, 2024

On 6-7-2024 at 10:00am, Licensing Program Analyst (LPA) Michael Bilger arrived at this facility unannounced to conduct a post licensing inspection visit. LPA met with the Lead Caregiver Cecilia Nunez and explained the purpose of the visit. Administrator Jagtar Singh was notified by phone and made aware of the purpose of the visit. LPA inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, living area, common TV area, and outside of the facility to ensure compliance with Title 22 regulations. Facility is a residential care facility for the elderly (RCFE) with a current census of 10. Facility has 6 bedrooms and 3 bathrooms for resident use. 1 extra bedroom and 1 extra bathroom is for staff use. Facility also has a separate cottage with 3 bedrooms and 1 bathroom for resident use. Facility has a dining area off the kitchen and a formal living room. LPA also conducted the inspection using the CARE tool. Facility currently provides care for 5 ambulatory residents, 5 non ambulatory residents, 0 hospice, and 0 bedridden. The facility has an approved infection control plan in place. Water temperature reads 105*F to 120*F in the bathroom and room temperature reads 77*F. LPA observed the facility to have adequate food supply. Resident rooms were sanitary and had the required furniture and furnishings. The facility common areas were clean and furnished. Smoke and carbon detectors were in good repair. Fire extinguishers are current and fully charged. Facility has an emergency food and water kit. All toxins and other dangerous items including sharp objects were locked and inaccessible to residents in care. Medication storage area was observed to be locked and inaccessible to residents in care. First aid kit was observed to have adequate supplies and accessible to staff. During this inspection 5 resident files and 4 staffing files were reviewed for regulatory compliance. One of six resident files did not contain a physician's report since admission in April 2024. Five of six resident files did not contain updated reappraisals and evidence of compliance with Section 87463(c). {Cont. 809C} All staff noted on LIC 500 contained criminal background clearances. Facility’'s liability insurance is current and up to date. Facility does not contain any bodies of water. LPA observed personal rights and complaint information posted. Facility has appropriate internet access available for resident use. Facility conducts monthly fire drills. LPA requested an updated copy of LIC 308 and LIC 500 by 6-14-24. Per California Code of Regulations, Title 22, deficiencies were observed during this visit and noted on LIC 809D. Exit interview was held and a report was given to Cecilia Nunez. Appeal rights provided. LIC 811 provided for reference use.