Routine inspection·January 25, 2024

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct the facility's annual required 1 year inspection. LPA met with Administrator, Dina Clark. During visit, LPA toured the facility with staff to include the dining room, living room, kitchen, garage, resident bedrooms, bathrooms, and backyard. All fire exit routes were free and clear of obstruction. All staff are fingerprint cleared and associated to the facility. The facility's temperature was maintained at 71 degrees Fahrenheit. Resident bedrooms observed with beds, linens, night stands, dressers, and adequate lighting. Bathrooms observed with hygiene products and paper supplies. Hot water temperature maintained at 106 degrees Fahrenheit. Kitchen observed with a sample menu posted on the fridge. 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 below 0 degrees Fahrenheit. Sharp objects observed locked. Chemicals and disinfectants observed locked in the garage. Fire extinguisher last services on 10/27/2023. LPA reviewed 3 resident files. 3 out of 3 files contained an admission agreement, medical assessment, TB result, personal rights, consent forms, and pre-appraisal. LPA observed 3 out of 3 resident's appraisal needs and services plans were updated on 01/10/2024 and are pending signatures from the resident's authorized representatives. ADM was advised. LPA reviewed centrally stored medications and centrally stored medication records to be maintained. SEE LIC809-C. LPA reviewed 3 staff files. 3 out of 3 staff files contained a health screening, TB result, employee rights, and training records. Staff are provided training to include emergency preparedness, dementia/Alzheimer's, medications, and oxygen use. Facility has an infection control plan. Facility has an emergency disaster plan. LPA did not observe the facility's disaster drills were being conducted quarterly. ADM was unaware disaster drills were required to be completed quarterly. LPA advised ADM. Facility has an emergency bin located in the garage. LPA observed a supply of flashlights and batteries. Posters observed at the entrance to include but not limited to complaint poster, ombudsman poster, facility license, facility sketch, personal rights, and COVID-19 related resources. LPA interviewed 2 staff and 3 residents. LPA obtained the facility's personnel report. LPA requested for the liability certification by 01/26/2024. No deficiencies were cited per California Code of Regulations, Title 22. Advisory note provided. This report was reviewed with Administrator, Dina Clark and a copy of the report was provided.