Routine inspection·February 14, 2025

At approximately 9:15AM, Licensing Program Analysts (LPAs) Star Stevenson and Marisol Cuadra made an unannounced annual required inspection of this licensed senior care facility. At approximately 9:40AM Administrator Matilde Verano arrived. At approximately 9:45 AM, LPAs toured the building and grounds which was found to be clean and in good repair, warm and without odors. LPAs observed all walkways and exits to be unobstructed. All notices that are required to be posted have been posted in highly visible areas. Facility has the required 2 days of perishable and 72 hours of non-perishable food. Facility kitchen, refrigerators and freezers were clean, and food was stored properly. Toxins are stored in a locked storage closet. Water temperature measured within regulation between 105- and 120-degrees F at faucets accessible to residents. Covered trash cans and paper towels were observed in the bathrooms, as well as, extra PPE, and incontinence supplies. Fire extinguishers were inspected and were last charged on 01/2025. Smoke detectors were found to be in working order. Carbon Monoxide detectors were present and working. There was enough lighting in all common areas, resident rooms, and hallways. Medication is centrally stored and secure. LPAs observed both a bed and couch in the garage with pillows that could make it possible for a staff person or other persons to sleep in the garage. A conversation was held with Administrator Matilde Verano that the bed needs to be removed or stored in a manner that does not allow for persons sleeping there. (Technical Violation was issued) Licensee agrees to submit pictures of the sleeping area removed or stored in such a manner that discourages sleeping. At approximately 10:45AM, LPAs reviewed 5 of 6 resident records and found 5 of 6 residents were in good order including medical assessments and careplans were current as stated by regulation. LPAs reviewed 3 of 6 medication records are thorough, locked and centrally stored and contained physician's orders for each resident. one (1) of six (6) residents are receiving Hospice services and the Hospice care plans were up to date for each resident. Continue on LIC809C At approximately 11:30 PM, LPAs reviewed 5 of 8 staff records. 5 of 8 staff records had required documents, TB clearance and current 1st aide/CPR certifications Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC610E- Disaster Plan Evidence of updated Liability Insurance Updated copy of DEED Updated LIC308 (designation of responsibility) No citations were issued during today’s visit. Exit interview conducted with Administrator Matilde Verano and a copy of this report was given.