Routine inspection·October 29, 2024

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with Administrator Xi-Hua Luo . During the visit, LPA observed 6 residents and 2 staff. LPA explained the purpose of the visit. LPA toured the facility inside out which included the Living room, kitchen, dining room, 5 restrooms and 6 residents bedrooms. The staff area of the facility was also inspected. The front yard and backyard were inspected. There was no obstruction to block the walkways. LPA's toured the facility garage, which is being used as a storage area / Laundry area. While touring the backyard of the facility LPA's observed a shed. LPA's requested to enter the shed. ADM stated she doesn't have the key and her husband has the key. ADM stated the shed is being used as storage. LPA's looked thru the window and observed that a light was on inside the shed. ADM stated the staff and the residents don't use the storage shed. ADM stated her husband, the owner of the home and co-licensee has the key, because the residents and staff don't use the shed. ADM stated yesterday the gardener was at the home, and stated that is why the light may have been left on. LPA's informed ADM the Department would do a follow up visit to inspect the shed in the backyard. While touring the kitchen of the facility LPA's asked Staff S1 to show where the facility has their knives. S1 pulled opened a drawer in the kitchen, adjacent to the kitchen stove. Inside the drawer was two knives (3:41pm). (Photographs were taken.) ADM stored the knives in a locked cabinet during LPA's visit. LPA observed the medication cabinet had a lock that wasn't engaged, LPA asked Staff S1 to lock it. LPA observed the cabinet below the sink, lock was also not engaged. LPA asked S1 to lock it as well. Page 1 Out of 2. 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 74 degrees F, and hot water temperature was measured at 115 degrees F in both resident bathrooms. Fire extinguisher was serviced in July 11, 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 July 2, 2024. LPA reviewed facility records for 3 staff and 3 residents. LPA reviewed 3 resident medications and centrally stored medication records. LPA conducted interviews with 1 staff and 2 residents. A deficiency cited during today's visit. This report was reviewed with Administrator Xi-Hua Luo and a copy of the signed report was provided. Appeals rights were also provided Page 2 Out of 2. END OF REPORT.