Routine inspection·January 8, 2025

On January 8, 2024, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced annual inspection. LPA met with Administrator, Helen Malig-On and explained the purpose of the visit. LPA toured the facility inside and outside including all of resident rooms, common areas & kitchen. The indoor and outdoor passageways were free of obstruction. No accessible bodies of water of fire safety hazards observed. Living room and dining room was observed to be clean, free from tripping hazards and odor-free. A comfortable temperature of 72 degrees F is maintained and lighting is sufficient for comfort. LPA toured kitchen and observed two day perishable and seven day non-perishables. Sharps, chemicals and medications were observed to be locked an inaccessible to residents. LPA toured 9 resident rooms;all of which were observed to be private rooms. All rooms were observed to be clean with required furnishings. LPA observed 2 full bathrooms and 1 half bathrooms. Bathrooms were observed to be clean and odor-free. Water temperature throughout the facility measured between 100-123 degrees F. Extra linen was observed to be present. First aid kit was observed to be complete and present. LPA toured the garage and observed washer to be in good repair. Carbon monoxide monitor is working properly. All fire extinguishers have been checked and current as of September 2024. Emergency drills are logged and being conducted every three months. LPAs reviewed 4 resident records and 4 staff records. Resident records are updated, complete and signed. Staff records are complete, with training logs that have met the basic requirement, however LPA observed 3/5 staff members first aid training to be expired. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated. Deficiency found today under Title 22, Division 6, on following page LIC 809D. LPA reviewed report with administrator and a copy is provided.