Routine inspection·May 22, 2024

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct the facility's annual required - 1 year inspection. LPA met with lead staff, Evelyn Yalung. Administrator, Elaine Yalung is currently on vacation. During visit, LPA toured the facility with staff to include the kitchen, living room, dining room, resident bedrooms, staff bedroom, bathrooms, and backyard. All exit routes are free and clear of obstruction. All staff present are fingerprint cleared and associated to the facility. Facility temperature maintained at 76 degrees Fahrenheit. Fire extinguisher last serviced on 08/10/2023. Facility has a carbon monoxide detector. Sharp objects, chemicals, and disinfectants observed secured in the kitchen. Facility has at least 2 days worth of perishables and 7 days worth of non-perishable foods. Refrigerator temperature maintained at 40 degrees Fahrenheit. Freezer temperature maintained at 2 degrees Fahrenheit. Facility was advised. LPA observed the non-perishable foods are being locked by a child lock device. Staff state 1 of the residents goes through the non-perishable cabinet and grabs the items inside. Staff state resident is able to be redirected and they will remove the child lock devices. Facility was advised. Resident bedrooms equipped with hospital beds, linens, adequate lighting, chair, and dresser. Bathroom equipped with shower chairs and grab bars. Hot water temperature in the resident bathroom maintained at 146 degrees Fahrenheit. Facility was advised. SEE LIC809-C. LPA reviewed 3 resident's files. Resident files were complete, besides 1 resident (R1) whose file did not contain an appraisal/needs and services plan. 3 resident's centrally stored medications and centrally stored medication records were reviewed. A total of 4 medications were not accounted for in the residents centrally stored medication records. Facility was advised. LPA observed the resident orders for postural supports. LPA reviewed 3 staff files. 3 out of 3 staff has an updated 1st aid certification, health screening report, and TB result. 3 out of 3 staff are fingerprint cleared and associated to the facility. LPA did not observe 20 hours of annual training for staff (S1) and (S2). Facility was advised. Emergency drill was last conducted in June 2023. Facility was advised. LPA observed the facility has a complete 1st aid kit. Deficiencies were cited today per California Code of Regulations, Title 22. See LIC809-D. A civil penalty for repeat violation within a 12-month period is being assessed for the mount of $250. See LIC421FC. This report was reviewed with lead staff, Evelyn Yalung and a copy of the report and appeal rights were provided.