Routine inspection·June 6, 2024

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with Administrator Qing Guo. During the visit, LPA observed 6 residents and 2 staff. LPA toured the facility inside out with ADM which included the Living room, kitchen, dining room, 4 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. LPA observed the storage shed in the backyard being used as storage. 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 to range from 109-111 degrees F in resident bathrooms. Fire extinguisher was serviced in October 9, 2023. 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 05/15/2024. LPA requested to review the 3rd & 4th quarter drill in 2023 and the 1st quarter drill in 2024. ADM stated she conducted the drills but could not produce documentation showing the drills had been conducted. LPA reviewed facility records for 3 staff and 3 residents. LPA reviewed 3 resident medications and centrally stored medication records. LPA conducted interviews with 2 staff and 2 residents. A Deficiency is being cited during today's visit. This report was reviewed with Administrator Qing Guo and a copy of the signed report was provided. Appeal Rights were provided.