Routine inspection·July 25, 2024

Licensing Program Analysts (LPAs) Christine Dolores and Santino Fortes arrived unannounced to conduct the facility's required 1 - year annual inspection. LPAs met with Executive Director (ED) Beena Kumar. During visit, LPAs toured the facility with ED to include the assisted living and memory care units. LPAs and ED also toured the dining rooms, kitchen, common areas, 10 resident bedrooms, bathrooms, activity rooms, and exterior. All fire exit routes are free and clear of obstruction. Stairwell C contained an evacuation chair. Facility temperature maintained between 71 - 77 degrees Fahrenheit. Fire extinguishers last serviced on 10/05/2023. Carbon monoxide detector present in the facility. Fire places observed screened. Posters observed in the lobby area to include the ombudsman and licensing complaint poster. Activities calendar posted in assisted living and memory care. Facility has at least 2 days worth of perishables and 7 days worth of non-perishables foods. Refrigerator temperature maintained between 36 - 40 degrees Fahrenheit. Freezer temperature maintained at 0 degrees Fahrenheit. Items inside the refrigerator observed covered. Facility has sufficient cups, plates, bowls, and utensils. Daily menu posted outside of the dining room area. LPAs and ED entered into rooms 303, 313, 222, 202, 206, 103, 106, 409, 415, and 416. All rooms observed with adequate lighting, a bed, linens, night-stand, and dresser. Showers equipped with grab bars and non-slid floors. Bathroom hot water temperature ranged from 106 - 128 degrees Fahrenheit. Rooms 313, 207, 206, 103, and 106 had light bulbs that were burnt out. Room 313's bathroom fan observed with built-up dust. Room 207's sink faucet observed with very low water pressure. ED immediately placed work orders for the items. SEE LIC809-C. LPAs reviewed 10 resident files. 10 out of 10 resident files contained a signed admissions agreement, physician's report, TB result, service plan, identification and emergency contact information, consent forms, safeguard personal property and valuables, and personal rights form. LPAs reviewed 5 resident's centrally stored medications and centrally stored medication records. LPAs interviewed 4 residents. LPAs reviewed 5 staff files. 5 out of 5 staff files reviewed are fingerprint cleared and associated to the facility. Staff files contains a 1st Aid Certification, health screening, and TB result. LPAs reviewed 5 out of 5 staff training records. Facility has an infection control plan. Facility has an emergency disaster plan. Emergency food supplies and emergency lighting observed. Emergency drills are being conducted quarterly. The following documents were obtained to include: Change of Administrator documents (Administrator Certificate, Resume, LIC500, and Photo ID/DL) and liability insurance. ED will email LPA Dolores the Board Letter once obtained and updated Emergency Disaster Plan. No deficiencies were cited per California Code of Regulations, Title 22. Advisory note provided. This report was reviewed with Executive Director, Beena Kumar and a copy of the report was provided.