Routine inspection·April 3, 2024

On 4/3/2024 at 10:00 a.m. Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced annual required inspection. LPA met with Thelma Tan, Administrator (ADM) and stated the purpose of the visit. At 10:20 LPA conducted the records review first and then LPA toured the facility inside and outside including the bedrooms, bathrooms, kitchen, and living room area. Bedrooms were observed with appropriate furniture and in good repair. Bathrooms are equipped with grab bars and nonskid floor mats. Facility is equipped with comfortable lighting. Facility temperature was maintained at 70 degrees Fahrenheit. Hot water temperature is maintained at 107.7 to 118.7 degree Fahrenheit. Hygiene items, toiletries, and linens were available to the residents. Centrally stored medications, sharp objects, and toxins were locked and inaccessible to the residents. Kitchen area was observed clean and sanitary. LPA observed 2 days’ worth of perishables and 7 days’ worth of nonperishable food. Facility is equipped with smoke detectors and carbon monoxide detectors. Hallways and passageways were free of obstruction. Centrally stored medications were reviewed with medication log were inspected and reviewed. Staff records were reviewed and observed the following; 3 out of 3 staff record has personnel record, criminal record statement, and current first aid certificate. 2 out of 3 staff records were missing the medical training record, 1 out of 3 staff record is missing the health screening and TB clearance. ADM stated some of the records were damaged during the heavy rain and will have the records completed. Resident records have the following admission agreement, medical assessment with TB test information, updated needs and services plan, and personal rights. The facility does not have disaster preparedness training on record to meet the overall health, safety and care needs of persons in care. ADM stated that the facility last administered disaster training was from May of 2023. The following forms to be updated and submitted to CCL by 4/15/2024 LIC 500 Personnel Record LIC 610E Emergency Disaster Plan Limited Liability Insurance Advisory notes were given and deficiencies are issued during today's visit per California Code of Regulations (CCR) Title 22. An exit interview was conducted with administrator Thelma Tan. A copy of the signed report and appeals rights were provided.