Routine inspection·February 20, 2024

On February 20, 2024, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced annual inspection. LPA met with Assistant Administrator, Jennifer Tobias 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. LPA observed six private resident rooms, all of which have half-baths. Rooms were observed clean, in good repair with all required furniture. Half-baths observed were clean and odor-free. LPA observed two full bathrooms; equipped with liquid soap, paper towels, and non-skid mats. Extra linen and first aid kit was present. Living room and dining room was toured, no tripping hazards were observed. A comfortable temperature is maintained and lighting is sufficient for comfort. LPA toured kitchen and observed two day perishable and seven day non-perishables. According to the Assistant Administrator, the water heater stopped working at 10:30am this morning and the facility currently does not have any hot water. During the visit, LPA observed third-party contractor working on repairing the water heater. Heating and A/C unit was observed working. Licensee faxed CCL an incident report immediately. Carbon monoxide monitors are working properly. All fire extinguishers have been checked and current as of November 2023. Emergency drills are logged and done every three months. Extra linen and first aid kit was observed present. Toxins, sharps, and medication were locked and inaccessible to residents in care. LPA reviewed 5 resident records and 5 staff records. Staff records are complete, with training logs that have met the basic requirement. 2/5 resident files reviewed did not have did not have pre-admission appraisals in resident file. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated. Deficiencies of the California Code of Regulations, Title, 22 cited on the LIC809-D. Failure to correct the deficiencies may result in additional civil penalties. Report is reviewed with Assistant administrator and a copy is provided with appeal rights.