Routine inspection·September 10, 2025

At approximately 12:25 PM, Licensing Program Analyst (LPA) Star Stevenson arrived unannounced to BEGIN a required 1-year annual inspection and was greeted by Administrator Patricia Harland. 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), clearance for one (1) bedridden resident. Facility currently has two (2) Hospice residents in care, and is approved for all non-ambulatory residents. At 12:40 PM, LPA observed that facility had removed a door stop at the automatically closing door between living room and bedroom #1 as required by recent fire safety inspection performed to allow care for a bedridden resident. At approximately 12:45 PM, LPA continued a tour of the facility with administrator and observed the following: Facility is a two story home with residents only living on the ground floor, was a comfortable temperature, and passageways were free from obstructions. Facility is noted to now have evacuation chair at top of the stairs. 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. Several staff members were observed to struggle to unlock/use the under-the-sink lock where knives and toxins are stored in the kitchen and a technical advisory was issued for the facility to attain an easier/safe locking mechanism. In addition a staff room upstairs was noted to need a lock, in case staff had prescription medicines or valuables and administrator was advised to attain an easy to use door knob lock (such as popular touch pad combo locks) to ensure future safety and security from theft for residents and mobile visitors. Hallway pull-down attic stairs were climbed for LPA to observe additional storage with Christmas decorations and supplies etc. Continued on LIC809-C... Continued from LIC809 Facility has at least two days of perishable food and one week of non-perishable foods, as well as an emergency water supply. Administrator was advised to ensure all staff and resident foods that are taken out of their original commercial packages are labeled with the date they are put into zip-lock bags or Tupperware for refrigeration and Technical Advisory issued. Medications were centrally stored and locked. Facility does not handle resident money. There is a covered seating area and gazebo in the backyard with outdoor space and bar-b-que for activities. Facility has an internet access device available for resident use. In addition, facility has a large hard-wired gas powered emergency generator. Facility has internet available to residents in care and the phone was tested an operational. LPA obtained a copy of the facility's updated infection control plan and emergency disaster plan which was last updated July 2025. LPA observed a supply of PPE, emergency supplies, a first aid kit, and flashlights. Administrator was advised of the need to update the recently expired "Statement of Information" (SOI) for Har Lee Mar Worldlink Corporation with the Secretary of State office. LPA obtained the following for the facility file: 1)Updated Liability Insurance 2)LIC500 Personnel Report 3)LIC9020 Register of Facility Residents 4)LIC610E Updated emergency disaster plan 5)LIC308 Designation of Facility Responsibilty for two (2) new employees. 6)LIC9282 Updated infection control plan Technical advisories were cited from cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. No deficiencies cited today LPA will return at a later date to perform staff and resident file review and medicine administration review. This report was reviewed with Patricia Harland and Appeal rights were given.