Routine inspection·January 21, 2025

On January 21, 2025 Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. Upon entry, LPA met with Resident Care Coordinator, Anne Tiquez and LPA explained the purpose of today's visit. The administrator arrived during the tour of the facility and assisted with the inspection. LPA toured the facility with the resident care coordinator and the administrator . The facility is a two story building. No accessible bodies of water or fire safety hazards observed. The indoor and outdoor passageways were free of obstruction. LPA observed all bedrooms with emergency call buttons, adequate furniture, and sufficient lighting. Bathrooms/shower rooms and toilets have grab bars and non-skid mats. Hot water temperature in the kitchen, bathrooms, shower rooms and resident rooms were measured at 105-115 degrees F. LPA toured the kitchen and observed 2-days perishable and 7- days non-perishable present. Linen closet was reviewed. Bed sheets, linens, and towels were observed to be sufficient at this time. Chemicals, toxins, and sharps objects were locked and inaccessible to residents. Facility is equipped with smoke detectors and carbon monoxide detectors. Fire extinguisher was last serviced on 2/2/2024. Fire drill records observed to be sufficient. During the tour in the kitchen with the resident care coordinator, LPA also observed the kitchen floor underneath the dishwater sinks appeared to be black with grease stains. In addition, LPA observed an opened carton of egg nog with an expiration date of January 11, 2025. At 9:35AM, during the tour of the facility with the resident care coordinator, LPA observed resident #2 (R2) with oxygen in the dining room with other residents and there was no "No Smoking - Oxygen in Use" sign around the area. According to the resident care coordinator, the "No-smoking - Oxygen in Use" signs are posted by the resident's rooms and not the dining room/dining area. At 9:56AM, during the tour of the facility with the resident care coordinator, LPA observed resident #1 has a bottle of Refresh eardrops at the bedside table. At 10:14 AM, during the tour of the facility with the administrator, LPA observed the medication cart consisted of little plastic containers of medications stored in a few big plastic boxes for the PM shift, HS shift, and AM shift for the following day. A review of (5) resident files was conducted and noted on the LIC 858. A review of (5) staff files was conducted and noted on the LIC 859. Based on observation, deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in civil penalties. This report is reviewed and discussed with administrator and the resident care coordinator. A copy of this report and the appeal rights were provided.