Routine inspection·October 30, 2024

Licensing Program Analyst (LPA) Marcella Tarin conducted an unannounced annual inspection visit at 9:25AM and met with Licensee Biao Zhang. LPA toured the facility inside and out with the Licensee to include the resident dining room, kitchen, resident bedrooms, bathrooms, and exterior. Facility temperature maintained at 71 degrees. Facility staff are fingerprint cleared and associated to facility. All emergency exits were observed to be clear of obstruction. LPA toured the kitchen area and observed a perishable food supply of at least two days and a non-perishable food supply of at least seven days. Refrigerator temperature maintained at 41 degrees F and freezer maintained at -5 degrees F. LPA measured hot water temperature at 106.3 for kitchen and 2 resident bathrooms. LPA observed medications were in a locked top kitchen cabinet. LPA observed additional medication and sharps in two separate unlocked drawers in the kitchen. LPA advised Licensee that all medications and sharps are to be locked and inaccessible to residents in care. LPA Tarin toured resident bedrooms. 6 out of 6 resident bedrooms had functioning lights, storage space for personal belongings, clean bedding, a chair, lamp and dresser/table. In R3's bedroom (resident room 3), LPA observed medication in an unlocked dresser drawer (picture taken). R3 bedroom is a shared bedroom with R2. The facility was equipped with smoke and carbon monoxide detectors and functioned properly when tested. Fire extinguishers were last serviced on 10/06/2023. LPA observed the facility first aid kit and it was observed to be complete. The facility fire/earthquake drill log was reviewed and drills are being conducted quarterly. The last fire drill was conducted on 08/23/2024. Facility has emergency disaster plan. See LIC809C LPA reviewed 6 residents Centrally Stored Medication and Destruction Records (CSMDR). LPA observed 6 out of 6 CSMDRs are complete with all medications accounted and documented. LPA observed the medication storage area was locked and inaccessible to residents in care. LPA reviewed 6 resident records. LPA observed 5 out of 6 resident records as complete to include a physician's report, TB result, updated appraisal/needs and services plan, identification and emergency contact information, personal rights, and consent forms. Resident (R3) record did not contain an updated physician's report. Resident R3 physician's report was not updated within the year. R3 has neurocognitive disorder. LPA advised Licensee to obtain updated physician's reports for Resident R3. LPA reviewed 3 staff records. LPA observed 2 out of 3 records to include fingerprint clearance, health screening, TB result, and personnel record. Staff 2's file was not available for review. Licensee states he does not have the documents for S2's file. LPA advised licensee that personnel records shall be available for review by the licensing agency. Deficiencies were cited today per California Code of Regulations, Title 22. A Technical Violation was also issued. See LIC809-D. Exit interview was conducted with Licensee Biao Zhang. A copy of this report was provided to Licensee and Appeal Rights were provided.