Routine inspection (multi-day)·October 10, 2023

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct the facility’s annual continuation visit from 10/04/2023. LPA met with Clinical Coordinator (CC), Karen Padilla. The facility has carbon monoxide detectors present throughout the facility. Activities calendar for the month observed posted in the common areas. On 10/04/2023, LPAs observed resident participating in activities such as church service and bingo. On 10/04/2023, LPA entered the kitchen area. The resident's meals are prepared in the facility's skilled nursing section and delivered to assisted living in a food warmer. LPA observed cups of fresh fruits in the assisted living refrigerator which were observed covered. On 10/04/2023, LPAs reviewed 5 resident records. During review of the residents centrally stored medication record (CSMR) it was found resident R2, R4, and R5's CSMRs were missing information. LPA observed R2 was missing 5 medications that were not written in their centrally stored medication record. CC followed-up with the pharmacy who then sent the updated CSMR with the 5 medications. R2's CSMR was missing start dates and refills information. R4's CSMR was missing start dates and refill number information. R5's PRN medication was not written in the CSMR. During today's visit, LPA observed and obtained the facility's in-service training record on medications that was conducted on 10/04/2023. On 10/04/2023, 4 residents and 3 staff were interviewed. The following documents were obtained: updated admission agreement, lease agreement, LLC, liability insurance, LIC-500, LIC-610E, and LIC-308. A deficiency was cited per California Code of Regulations, Title 22. See LIC809-D. This report was reviewed with Clinical Coordinator, Karen Padilla and a copy of the report and appeal rights were provided.