Routine inspection·October 4, 2024

At approximately 10:10 AM, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to conduct a required 1-year annual inspection and was greeted by Rosalie Cocson, Designated Responsible Party (RP). Patricia Harland, LIcensee/Administrator was contacted and arrived at approximately 10:45 AM. Facility is a Residential Care Facility for the Elderly (RCFE) with six (6) residents in care. All residents were present during today's inspection. Facility has a hospice waiver for four (4), has two (2) Hospice residents currently in care, and is approved for all non-ambulatory residents. At approximately 10:30 AM, LPA initiated a tour of the facility with RP and observed the following: Facility is a two story home, was a comfortable temperature, and passageways were free from obstructions. Licensee provided proof that an evacuation chair has been ordered for the facility. Water temperatures in Residents' bathrooms measured within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed a supply of clean linens, paper products, and incontinent care briefs available to residents. Residents' bedrooms were inspected and observed to have appropriate furnishings as outlined in Title 22 regulations. Cabinets containing cleaning supplies and other items that could pose a risk were locked. LPA advised House Manager and Licensee to ensure all such items are secured and inaccessible to residents when not being used. Facility has at least two days of perishable food and one week of non-perishable foods, as well as an emergency water supply. Medications were centrally stored and locked. There is a covered seating area in the backyard with outdoor space for activities. Facility has an internet access device available for resident use. Facility has internet available to residents in care and the phone was tested an operational. Facility's fire extinguisher was observed charged and was last serviced December 2023. Smoke and Carbon Monoxide detectors were tested and operational during inspection. Facility conducts quarterly disaster drills with the most recent drill was conducted August 2024. Continued on LIC809-C... Continued from LIC809... LPA observed facility's infection control plan and emergency disaster plan which was last updated April 2024. LPA observed a supply of PPE, emergency supplies, a first aid kit, flashlights and a back up generator for emergency preparedness. Licensee provided LPA with a copy of the facility's current liability insurance. At approximately 12:00 PM, LPA reviewed three (3) staff files and six (6) resident files. Facility currently has four (4) staff but Licensee was only able to provide LPA with three (3) staff files for review (See LIC809D). Three (3) of three (3) staff files reviewed have the required paperwork and proof of current First Aid and CPR training. However, Licensee was unable to provide proof of annual medication training for two staff (See LIC809D). LPA advised Licensee to ensure proof of all staff initial, annual, and medication training is available for review upon request by Licensing. LPA also advised Licensee to ensure compliance with all initial training requirements for all new staff. Six (6) of six (6) resident files reviewed have all the required paperwork. Licensee/Administrator coordinates medical and dental visits for the residents and uses a third party transportation company to take them to their appointments. At approximately 3:30 PM, LPA reviewed medications and medication records which are maintained and stored in compliance with regulation. LPA advised Licensee to ensure staff are documenting medication parameters and adherence to them. Facility does not manage P&I monies. Updated copies of the following documents are to be submitted to CCL within 30 days of this visit : LIC500 - Personnel Report (updated) Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. Appeal rights were given. Exit interview conducted with Licensee whose signature on form confirms receipt.