Routine inspection·August 15, 2024

Licensing Program Analyst (LPA) Manuel Monter and Marcela Yanez conducted an unannounced annual inspection visit, and met with Administrator (ADM) Joseph Oliva. During the visit, LPA observed 3 residents and 3 staff. LPA explained the purpose of the visit. LPA toured the facility inside out with ADM which included the Living room, kitchen, dining room, 3 restrooms and 6 residents bedrooms. The staff area of the facility was also inspected. The front yard and backyard were inspected. There was no obstruction to block the walkways. Two-day perishable food supplies and seven day nonperishable food supplies were observed. LPA observed the medication storage area, knives storage area, and cleaning product storage area as locked and inaccessible to residents in care. Room temperature was at 72 degrees F, and hot water temperature was measured at 108 degrees F in both resident bathrooms. Fire extinguisher was serviced in 04/29/24. The facility was equipped with smoke and carbon monoxide detectors. Smoke detectors was tested by ADM, and were functional. LPA observed facility first aid kit and facility fire/earthquake drill log. The facility's last drill was on 08/06/2024. LPA conducted interviews with 1 staff and 1 residents. LPA reviewed facility records for 3 staff and 3 residents. LPA reviewed 3 resident medications and centrally stored medication records. While reviewing resident R2's medications, LPA's observed medication #1's bottle did not contain the prescription label. R2's medication bottle 1 did not have the prescribing physician, dosage, or name of resident. ADM stated the box was discarded. a Deficiency are being cited during today's visit. This report was reviewed with Administrator Joseph Anthony Oliva and a copy of the signed report was provided. Appeal rights were provided.