Routine inspection·August 25, 2023

Licensing Program Analyst Carol Fowler, arrived unannounced to conduct a Required Annual Inspection and met with Theresa Ilagan, Manager. The facility was a comfortable temperature, free from obstructions, and was well lit. Extra linens were available and required bath mats and grab bars were observed. Water temperature in resident's bathrooms measured between 105 and 120 degrees F which is within acceptable range. Medications were centrally stored and locked. Residents handle their own cash resources. Fire extinguishers located in the kitchen and hallways was last inspected 02/15/2023. Smoke alarm system and sprinkler system were last inspected 4/2/2023. The last Disaster Drill was conducted on 8/1/2023. Staff and resident records were reviewed. Administrator Certificate for Rasmika Mahawal, #6029802740 expired March 5, 2022 but has renewed. Staff have required First Aid and CPR certificates. Residents have current Medical Assessments and Appraisals/Care Plans as required by regulation. Medications were reviewed. Deficiencies LPA observed during tour and record review: Cleaning products and other toxins located in an unlocked supply room Food (meat) not properly stored in freezer, freezer dirty Administrator file not stored at the facility continue on LIC809C continue from LIC809 LPA conducted staff and resident interviews. LPA requested the following documents to update facility file: · Designation of Facility Responsibility (LIC 308) · Control of Property · Emergency Disaster Plan (LIC 610D) · Health Screening Report for Administrator (LIC 503) · Updated Personnel Report (LIC 500) · Updated Liability Insurance · Active and Current Administrator Certificate Facility Documents to be submitted to Community Care Licensing (CCL) by due date of Monday 9/5/2023. Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Copy of this report and appeal rights were provided.