Routine inspection·March 13, 2024

Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced required annual inspection and met with facility Administrator (ADM) Griselda Galvan The facility's census is 82 resident and 82 staff. LPA toured the facility, including entryway, common room, dining room, kitchen, laundry room, 6 bedrooms, 6 bathrooms, medicine room, and activities room. LPA toured the exterior of the facility and observed all walkways are free from obstruction. No prohibited items were observed in the resident rooms. All emergency exits are clear from obstruction. The facility has housekeeping schedule for the residents. LPA toured the memory care section and tested the door alarms and found it to be in good working condition. Facility has activities scheduled posted for the whole month. LPA observed residents participating during activity time. LPA tested the facility water temperature. Water temperature measured between 112 to 116 degree Fahrenheit. LPA observed sufficient supply of food, 2 days of perishable food and 7 days for non-perishable food. Fire extinguisher was last inspected on 10/16/2023. All toxins are kept in a locked room. Knives are locked and is not accessible to residents. LPA reviewed the facility's fire alarm log. The fire alarms system for the entire building were tested on 3/6/2024 and 3/7/2024 and found to be in good working conditions. continued to LIC 809C page 1 of 2 LPA interviewed 2 facility staff. LPA reviewed 4 resident files and 4 staff files and found records to be complete and updated. LPA reviewed the Centrally Stored Medication and Destruction Report for 4 residents and found all records to be updated. No deficiency was cited during today's visit per CCR Title 22. This report was reviewed with Administrator Griselda Galvan and a copy of the signed report was provided. End of Report page 2 of 2