Routine inspection·January 31, 2024

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Required - 1 Year visit and met with Jolene Sicley. During visit, LPA Marrufo toured the facility inside and out. LPA Marrufo toured 3 out of 3 facility kitchens. The kitchens had a perishable food supply of at least two days and a non-perishable food supply of at least 7 days. LPA toured 10 resident bedrooms and observed each bedroom to have available bedding and clothing storage areas as well as working lights. LPA toured 2 out of 2 hallway bathrooms and observed them to have available soap and paper towels and water temperature between 111-114 F. During visit, LPA Marrufo tested the facility smoke alarm system. During the test, the emergency strobe lights did not flash in any parts of the building and only a faint sound could be heard in the main lobby area. During visit, technicians visited the facility and repaired the alarm system. A second test was conducted and LPA observed strobe lights and alarm sounds in all areas of the facility building. The outdoor area was toured and the exits were found to be clear of obstructions. LPA Marrufo reviewed the Centrally Stored Medication Logs and Resident Records for 5 residents and found them to be complete. LPA reviewed staff records for 5 staff and found them to be complete. LPA reviewed the Personal and Incidental Money Log for residents R1-R3. R1 was missing $191.32, R2 did not have a Personal and Incidental Money Log but had $47 that the facility was safeguarding for R2, and R3 had $280, but R3's Personal and Incidental Money Log stated R3 was only supposed to have $98. See LIC809-C for more information. A deficiency was cited as per California Code of Regulations Title 22. See LIC809-D page for more information. This report was reviewed with Administrator Jolene Sicley and a copy of this report and appeal rights were provided.