Routine inspection·September 17, 2024

On September 17, 2024, Licensing Program Analysts (LPAs) Kiran Jain and Komal Charitra arrived at the facility at 09:15 AM to conduct the Annual 1-year required inspection. LPAs met with Nancy Medina, Activity Director and explained the purpose of the visit. Anna Allas, Administrator joined shortly after. LPAs toured the physical plant and observed it to be clean and odor-free at a comfortable temperature. This is a two-story building with 21 resident bedrooms, 21 bathrooms, a dining room, a living room, an activity area, a storage/supply room, a kitchen, a laundry room, a medication room, and offices on the first level. The second level has 13 resident bedrooms, 13 bathrooms, storage rooms, and a spa room. Delayed Egress was observed to be working properly at the main entrance door. Auditory devices were observed to be in place to monitor all exits. No accessible bodies of water or hazards were observed. Video surveillance was observed only in the hallways and common areas of the facility. The fire extinguishers were fully charged and last serviced on April 2024. The smoke detector and carbon monoxide detector were fully operational. LPAs inspected resident’s rooms and bathrooms at random. Rooms were observed to be clean with the required furniture and sufficient lighting. The bathrooms were observed to be mold-free and equipped with grab bars, liquid soap, and paper towels. The hot water temperature in the resident's bathroom was measured on the first floor in room 10 at 108.6°F . Hot water temperature was also measured on the second floor in room 23 at 118.4°F. Sharp objects, detergents, poisons, and soap were observed to be locked and inaccessible to persons in care. No expired food items were observed. The facility had the required 7 days of non-perishables and 2 days of perishables. LPAs reviewed five resident records and five staff records. All were observed to be complete. Emergency drills are conducted monthly with the last drill documented on September 2024. The resident’s medications are securely stored in a locked cart/cabinet/refrigerator. Medication administration records (MARs) were reviewed, and no expired medications were observed. The First Aid kit was checked and observed to be complete. The following updated forms are requested to be submitted to CCLD by 09/24/2024: · LIC500: Personnel Report · LIC308: Designation of Facility Responsibility · LIC400: Resident Cash Resources · Administrator Certificate · Current Liability Insurance No deficiencies were cited during today's visit. An exit interview was conducted. This report was reviewed with Anna Allas, Administrator, and a copy of this report was left at the facility.