Routine inspection·July 24, 2023

LPA Grace Donato conducted an unannounced annual visit to the facility. LPA met with caregiver Susie Herrera. LPA toured the facility inside and outside with the caregiver. While touring the facility it was observed that the room temperature was at 78 deg F. Hot water was also tested and temperature was 110 deg F. Each resident rooms were checked. The residents have adequate amount of linens and incontinence care items. Adequate lighting is available in all rooms. All personal belongings are intact. All residents are comfortable and taken care of. Carbon monoxide monitor is working properly. All fire extinguishers have been checked. Bathrooms were observed to be in good repair equipped with non-skid mats and grab bars. There is also adequate amount of food. 2 days for perishables and & 7 days non-perishable. Medication review was done for all residents and all medications are accounted for and centrally stored medication records are updated. 3 staff records available in the facility were reviewed . All staff records reviewed has criminal record clearance and are associated with the facility. Based on record reviews, it was noted that 2 the facility staff does not have updated CPR & First Aid training. Personnel records are not maintained in the facility resulting for some documents being unavailable when needed. Resident records were checked. 2 out 3 doesn’t have signature of Licensee/Administrator in the admission agreement. One resident doesn’t have signature on LIC 603 (Needs & Appraisals), another resident doesn’t have signature on LIC 621 (Personal Property & Valuables). Licensee/Administrator was advised to have these records signed. All records that still have the Orchid Lan name should be updated to Sandhill Assisted Living. Staff are scheduled either up until 7 pm or 10 pm. Administrator confirmed on phone that live-in staff take care of residents needing assistance after shift and is compensated for work done during that time. Facility doesn't have a record of Emergency Disaster drill log. LPA advised administrator that drill shall be completed quarterly. LPA requested licensee to submit the following and was received by 7/24/2023: LIC 308 Designation of Facility Responsibility LIC 500 Personnel Report Deficiencies of the California Code of Regulations, Title, 22 cited on the LIC809-D. Failure to correct the deficiencies may result in civil penalties. Report is reviewed with caregiver and a copy is provided with appeal rights.