Routine inspection·March 15, 2024

Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced required annual inspection and met with facility's Business Office Director/Assistant Exec Director (BOD/AED) Brisa Romero The facility's census is 34 resident and 54 staff. LPA toured the facility, including entryway, common room, dining room, kitchen, laundry room, 4 bedrooms, 3 bathrooms, medicine room, and activity room. LPA toured the exterior of the facility and observed all walkways and emergency exits are free from obstruction. No prohibited items were observed in the resident rooms. All emergency exits are clear from obstruction. The facility has housekeeping schedule for the residents. LPA toured the memory care section and tested the door alarms and found it to be in good working condition. Facility has activities scheduled posted for the whole month. LPA observed residents participating during activity time. LPA tested the facility water temperature. Water temperature measured between 119 to 120 degree Fahrenheit. LPA observed sufficient supply of food, 2 days of perishable food and 7 days for non-perishable food. Fire extinguisher was last inspected on 9/21/2023. All toxins are kept in a locked room. Knives are locked and is not accessible to residents. LPA reviewed the facility's fire alarm log. The fire alarms system for the entire building was inspected and tested on 01/09/2024 and were found to be in good working condition (test result passed). continued to LIC 809C page 1 of 2 LPA reviewed 3 resident files and 3 staff files. LPA reviewed the Centrally Stored Medication and Destruction Report for 3 residents and found all records to be updated. Disaster training for the facility was updated. LPA reviewed the staff personnel record and training information and found record to be updated and complete. No deficiency was cited during today's visit per CCR Title 22. This report was reviewed with Business Office Director/Assistant Exec Director (BOD/AED) Brisa Romero and a copy of the signed report was provided electronically by email due to printer error.