Routine inspection·June 19, 2024

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Required 1 Year visit and met with Kris Vu, Director of Resident Health Services.. During visit, LPA Marrufo toured the facility inside and out. During visit, LPA Marrufo toured the facility kitchen area. LPA observed a perishable food supply of at least two days and a non-perishable food supply of at least seven days. LPA Marrufo reviewed the facility first aid kit and found it to be complete. LPA Marrufo reviewed the Centrally Stored Medication and Destruction Record (CSMDR) for residents R1-R5. Resident R1 had two prescription medications that were not entered into the CSMDR. R2 had six prescription medications that were not in the CSMDR. R3 had three prescription medications that were not in the CSMDR. R4 had 3 prescription medications that were not in the CSMDR. R5 had 1 medication that was not in the CSMDR. LPA Marrufo reviewed the resident records for R1-R5 and found them to be complete. LPA Marrufo reviewed the staff records for staff S1-S6. Staff S4-S6 did not have current first aid certifications on file. Staff S2, S4, S5, and S6 were missing their LIC9025 Employee Rights Forms in their staff records. LPA Marrufo toured 1 hallway bathroom and 5 resident living units. The hallway bathroom and the bathrooms in the living units each had working lights and available soap and paper towels. The water temperatures in all toured bathrooms were between 112 F and 115 F. The bedrooms in each living unit had available bedding and clothing storage areas and working lights. LPA Marrufo toured the outside area and found the exits to be clear of obstructions and the pool area was locked. Per facility records, the Smoke Detector System was last tested on 04/18/2024 and the last fire drill was done on 03/22/2024. Deficiencies were cited as per California Code of Regulations Title 22. See LIC809-D for more information. An Advisory Note was issued. See LIC9102 for more information. This report was reviewed with Kris Vu and a copy of this report and appeal rights were provided.