Routine inspection·January 26, 2024

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with Lead Staff Luzviminda Obillo (S1). During visit, LPA observed 5 residents and 2 staff. LPA toured the facility inside out with S1 which included; the Living room, kitchen, dining room, 2 restrooms and 4 residents bedrooms. The staff area of the facility was also inspected. Front yard and backyard were inspected. While touring the backyard, LPA observed the fence had an opening and several wooden planks were no longer attached to the fence, creating an opening. LPA observed the red painted wood patio flooring also has a couple of gaps in the wood planks. ADM stated she is aware of the issues and is working with her insurance company to address said issues. The facility Laurel Crest Manor has two residents who use a wheel chair. There was no obstruction to block the walkways. Two day perishable food supplies and seven day nonperishable food supplies were observed. LPA observed the medication closet, knives storage area, and cleaning product storage area as locked and inaccessible to residents in care. Room temperature was at 70 degrees F, and hot water temperature was measured at 108 degrees F in both resident bathrooms. Fire extinguisher was serviced in February 8 2023. The facility was equipped with smoke and carbon monoxide detectors. Smoke detectors was tested by S1, and were functional. LPA observed facility first aid kit and facility fire/earthquake drill log. The facility's last drill was on January 12, 2024. LPA reviewed 3 resident medications and centrally stored medication records. LPA conducted interviews with 2 staff (S1 to S2) and 2 residents (R1-R2). LPA reviewed facility records for 2 staff . Page 1 out of 2 LPA reviewed 2 resident records. According to Title 22 code of regulations, 87705 Care of Persons with Dementia (c)(5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident’s dementia care needs. While reviewing R1 files, LPA observed R1's physicians report, dated, December 17, 2020 states R1 has a neroucognetive disorder. LPA requested R1's updated physicians report. S1 stated she did not update it, not yet. Deficiencies were cited from California Code of Regulations, Title 22 during today’s visit, see LIC 809-D. This report was reviewed with ADM Merle Laurel. ADM stated S1, Luzviminda Obillo could sign on her behalf and a copy of the report was provided. Appeal Rights were provided. Page 2 out of 2