Routine inspection·April 4, 2023

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct the facility's annual inspection. LPA met with Licensee, Hassan Ebadat. During visit, LPA toured the facility to include the living room, dining room, kitchen, resident bedrooms, bathroom, staff bedroom, garage, and backyard. All fire exit routes were free and clear of obstruction. All staff present are fingerprint cleared and associated to the facility. Facility temperature maintained at 71 degrees Fahrenheit. Hot water temperature maintained at 123 degrees Fahrenheit. Facility's fire extinguisher last serviced on 04/18/2022. LPA observed the facility's carbon monoxide detector. Bedrooms contained proper furniture, lighting, and linens. Bathrooms supplied with paper supplies, lidded trash bins, hygiene products, and hand washing sign. LPA observed the facility's food supply. LPA advised Licensee to ensure the refrigerator and freezer has a thermometer to maintain proper temperature. LPA advised to ensure prepared foods are properly labeled. LPA reviewed 5 residents files. LPA observed the residents appraisal needs and services plans were last updated in year 2019. LPA advised to ensure resident's appraisal needs and services plan are reviewed and updated yearly and as often as necessary, to ensure accuracy. LPA observed residents medical assessments were not up to date for residents diagnosed with Dementia. Licensee was advised. SEE LIC809-C. LPA reviewed 4 staff files and training records. Staff obtain an updated first aid certification. Emergency Drill training was conducted on in March 2023. Facility retain residents who are diagnosed with Dementia. LPA did not observe staff are trained in caring for a persons with Dementia. Facility did not have their plan of operations maintained at the facility. Facility has their emergency disaster plan posted at the front entrance. LPA did not observe the facility have proper supplies that are ready in case of an emergency or disaster. The following posters observed to include the ombudsman, licensing complaint poster, personal rights, facility sketch, and COVID-19 related posters. Deficiencies are being cited per California Code of Regulations, Title 22. See LIC809-D and LIC9102. A plan of correction was developed with Licensee, Hassan Ebadat. A copy of this report and appeal rights were provided.