Routine inspection·April 18, 2024

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct the facility's annual required - 1 year inspection. LPA met with Administrator (ADM), Nicholas Inneh. LPA entered and observed 15 bedrooms, 2 shower rooms, 1 common bathroom, dining room, kitchen, medication room, and exterior. All fire exit routes were free and clear of obstruction. All staff present are fingerprint cleared. Facility temperature maintained between 69 to 71 degrees Fahrenheit. Facility's hot water temperature maintained at 119 degrees Fahrenheit. Resident bedrooms contains lighting, beds, linens, dressers/closet space, and a night stand. LPA observed the facility has additional linens available for the residents. Facility has at least 7 days worth of non-perishables and 2 days worth of perishable foods. Items in the refrigerator and freezer observed covered. LPA advised to place a thermometer inside the refrigerator and freezer to monitor the temperatures to ensure compliance with Title 22 regulations. Fire extinguisher last services on 04/13/2023. Carbon monoxide detectors present throughout the facility. The facility has a scheduled date to service all fire extinguishers and carbon monoxide detectors. Emergency disaster plans and facility exit routes posted at every exit door. Last emergency drill was conducted on April September 2023. Facility was advised. LPA reviewed 6 resident files. LPA observed 2 residents physician's report were dated in 2016 and 2020. 1 residents physician's report was not on file. Administrator was advised. LPA reviewed 6 residents centrally stored medical records and 6 residents P&I money is maintained. 6 residents were interviewed. SEE LIC809-C. LPA reviewed 4 staff files to include 1st aid certification, health screening, TB result, and personnel record. LPA did not observed staff are provided 20 hours of annual training on topics to include but not limited to dementia, postural supports, restricted health conditions, and hospice. Administrator was advised. Facility did not have an infection control plan available for LPA's review. LPA requested for the facility's updated LIC500, infection control plan, and liability insurance by 04/19/2024. Deficiencies were cited per California Code of Regulations, Title 22. See LIC809-D. This report was reviewed with Administrator, Nicholas Inneh and a copy of the report and appeal rights were provided.