Routine inspection·July 3, 2024

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with Administrator (ADM) Victoria Regala. During the visit, LPA observed 5 residents and 2 staff. LPA toured the facility inside out with ADM which included the Living room, kitchen, dining room, 2 restrooms and 5 residents bedrooms. The front yard and backyard were inspected. LPA observed two storage sheds in the backyard, being used for storage. LPA observed the garage being used as a storage area. There was no obstruction to block the walkways. Two-day perishable food supplies and seven day nonperishable food supplies were observed. LPA observed the medication storage area, knives storage area, and cleaning product storage area as locked and inaccessible to residents in care. Room temperature was at 82 degrees F, and hot water temperature was measured at 118 degrees F in both resident bathrooms. Fire extinguisher was serviced in April 26, 2024. The facility was equipped with smoke and carbon monoxide detectors. Smoke detectors was tested by ADM, and were functional. LPA observed facility first aid kit and facility fire/earthquake drill log. The facility's last drill was on May 9, 2024. LPA reviewed facility records for 2 staff. LPA reviewed 3 resident records. During a review of R2's records, LPA observed resident R2 has a neruocognetive disorder. R2's physicians report is dated July 1, 2021. R2's needs and services plan is dated Mach 26, 2023. ADM stated she does not have an updated needs & services plan or physicians report for R2. LPA reviewed 3 resident medications and centrally stored medication records. LPA conducted interviews with 2 staff and 2 residents. Deficiencies are being cited during today's visit, see LIC809-D. This report was reviewed with Administrator Victoria Regala and a copy of the signed report was provided. Appeal Rights were provided.