Routine inspection·January 30, 2024

On January 30, 2024, Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. LPA met with resident service director, Rowena and explained the purpose of the visit. The administrator arrived shortly thereafter and assisted with the inspection. LPA toured facility and grounds of this 4-story facility. There are two elevators and 3 stairwells, and 69 apartments--small studios, large studios, and one bedroom units, all have a private bathroom. On the ground floor, there are offices, kitchen, living and main dining rooms. The second floor is the memory care unit, and can only be accessed by a keypad for the elevator. There is a dining room, kitchen, and common rooms on the 2nd floor. There are laundry rooms on the 2nd, 3rd and 4th floors. There is an underground parking garage. LPA observed an emergency call system installed in each bathroom and all assisted living clients have pendants that transmit audible and visual signal to the centrally monitoring system and pagers carried by care staff and med techs. LPA observed fire extinguishers were last serviced on 2/1/2023 and water temperatures were measured at 105 - 116 degrees F. LPA observed medications are secured in medication rooms on 1st and 2nd floors and toxins are secured in locked maintenance rooms on 2nd, 3rd and 4th floors. LPA reviewed documentation for emergency drills. During the kitchen tour, LPA observed perishable and non-perishable foods are adequate. The walk-in refrigerator and freezer floors were dirty, the mental shelves in the walk-in refrigerator was observed to have black partials hanging on the metal bars, the metal tray to hold clean cups was dirty, etc. LPA reviewed 5 resident records and all of them contained admission agreement, medical assessment- LIC 602 (Physician Order), Appraisal Needs and Service Plan, Resident Identification information, Pre-appraisal assessment, etc. LPA reviewed 3 staff files and all of them contained personnel records, health screening, COVID-19 vaccination information, Job Description, Abuse Statement, fingerprint cleared and associated to the facility and First Aid/CPR documentation was not adequate. 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. A copy of this report and the appeal rights were provided.