Routine inspection·July 23, 2024

Licensing Program Analyst (LPA) Simi Rai conducted an unannounced Required 1 Year visit. LPA met with Administrator (ADM) Rosalie Zbasnik/Hulog and stated the purpose of today's visit. During visit, LPA Rai toured the inside and outside of the facility to include the assisted living unit and memory care unit. When touring the outside area of the facility, the exits were cleared of obstruction. LPA Rai toured the facility kitchen and observed food supply of at least 2 days of perishable food and at least 7 days of nonperishable food. LPA Rai observed the temperature of the freezer at 0 degrees F and the temperature of the fridge at 37 degrees F. LPA Rai observed storage unit for emergency food supply and two back-up generators on the premise. LPA Rai randomly toured 10 resident bedrooms. 10 Out of 10 resident bedrooms had available bedding, drawers, and functioning lights. The facility bathrooms had available soap, paper towels, and trash cans with lids. The water temperature in the bathroom sinks ranged from 108.7 degrees F - 119.7 degrees F. Fire extinguisher was observed and inspected on 10/17/2023. Facility smoke detectors and sprinklers were in working condition and inspected by a third party vendor on 5/1/2024 and 7/19/2024. The last disaster drill was conducted on 03/18/2024 and 6/21/2024. LPA Rai reviewed facility records for 10 staff and 11 residents. LPA Rai observed 6 out of 11 Appraisal/Needs and Services Plan was not signed by resident and/or responsible party. LPA Rai observed the facility Individual Service Plan was not signed by resident and/or responsible party. LPA Rai reviewed at random 10 resident current and PRN medications and central stored medication records. Deficiencies were cited per California Code of Regulations, Title 22 and Technical Violation was provided. This report was reviewed with Administrator (ADM) Rosalie Zbasnik/Hulog and a copy of the report was provided. Appeal Rights were provided.