Routine inspection·September 22, 2023

On 09/22/2023, Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced required annual inspection at the facility today. LPA met with Diane Eldridge, Administrator. LPA explained the purpose of the visit. LPA toured the facility inside and out. The tour included the following; the assisted living, dementia program, the activity areas in both buildings and dining/kitchen areas. LPA also toured the following memory care resident bedrooms which included, but not limited to rooms; 408, 405, & 406. LPA also toured the following assisted living residents bedrooms, which included, but not limited to the following rooms; 102, 109, 111, 204. LPA observed resident bedrooms and bathrooms to be clean, organized and fully furnished. The main kitchen was inspected, menus with special diets was observed. LPA observed staff and residents engaged in a Hawaii themed event in the dinning room. The perishable and nonperishable food is observed. All interior and exterior passageways were observed to be free of obstruction. Fire extinguishers observed in the facilities was tagged with a last inspection record date of 02/07/2023. The Room temperature in both buildings was set at a comfortable 75 degrees F. The facility is equipped with all required equipment including exit alarms, signal alerts, grab bars, non-skid mats locked storage for toxic materials and medication was observed. Facility is equipped with First Aid Kit. The facility was observed to be clean, sanitary, and in good repair. The facility's last fire drill conducted was on July 12, 2023. The hot water temperature in both buildings were measured. The memory care building water temperature ranged from 106 and 108 degrees Fahrenheit (Memory care bedrooms 405 & 108). The assisted living building water temperature ranged from 109 degrees Fahrenheit and 110 degrees Fahrenheit. (Assisted living bedrooms 103 & 204). ADM tested the delayed egress alarms in the memory care building and staff responded in less than 15 seconds. Page 1 out of 2 3 Residents records were reviewed. A memory care resident, R1's physicians report is dated 07/06/2022. R1's appraisals needs and services plan is dated 10/18/2022. The needs and services plan for R1 has not been updated to reflect the changes in care implemented. ADM stated R1 now on 15 minute checks and added to the facility's elopement risk list. LPA also reviewed 3 staff files. Medication records were reviewed against the centrally stored log. LPA also interviewed 3 staff and 3 residents. Deficiencies were cited from California Code of Regulations, Title 22 during today’s visit, see LIC 809-D. This report was reviewed with Administrator Diane Elbridge and a copy of the report was provided. Appeal Rights was provided. Page 2 out of 2