Routine inspection·November 4, 2024

On 11/4/2024, LPA Grace Donato made an unannounced annual visit to the facility. LPA met Co-Administrator Ricardo Aban. LPA explained the purpose of the visit. LPA toured the facility inside and outside including all of resident rooms, common areas, kitchen area & garage. The indoor and outdoor passageways were free of obstruction. While touring the facility it was observed that the room temperature was at 69 deg F. Hot water was also tested in the bathrooms and the temperature was 110 deg F. Carbon monoxide monitor are working properly. All fire extinguishers have been checked and current. Resident bedrooms and bathrooms were observed to be in good repair equipped with grab bars and non-skid mats. All personal belongings of residents are intact. LPA checked the food supply and there is adequate amount of food, 2 days for perishables and & 7 days non-perishable. Emergency drills are logged and done every quarter. Five resident records and four staff records were reviewed. Staff records are complete, with training logs. Facility accepts hospice residents and are in compliance with the required waiver requirements. LPA requested the following documents: LIC 308, Control of Property, Certificate of Liability Insurance, LIC 500, LIC610E. Upon reviewing resident records it was found out that three out of five residents have a clause in their admission agreement about refunds. Clause states that "Residents on Respite Care and or Hospice Care: No refunds are offered due to uncertainty length of stay and of resident's condition." The facility’s admission agreement does not meet Title 22, Div. 6, Chapt. 8, Article 9, Sec. 87507 Admission Agreements. Deficiency of the Residential Care Elderly California Code of Regulations, Title 22, Division 6 is observed and cited on a LIC 809D. Failure to correct the deficiencies may result in civil penalties. Report is reviewed and copy of report and appeal rights are provided.