Routine inspection·September 9, 2024

At approximately 12:05 PM, Licensing Program Analyst (LPA) Araceli Canela made an unannounced annual required 1 Year inspection of this licensed senior care facility. LPA met with facility manager, Theresa Ilagan aka TJ; Administrator, Rashmika "Rose" Mahawar was not available during the visit. LPA toured the building and grounds, Facility is not using the left wing and LPA observed 2 beds in the wide hallway that will need to be removed. This facility has two wings and at this time the facility is only using the right wing as there are only 14 residents living in the facility. Upon arrival the residents were waiting to have lunch and LPA observed the dining area closed and several tables that had a plate of food covered and a drink for the residents to come in and eat. LPA observed and felt the top of the cover and the food appeared to be cold. LPA checked with several residents that were able to communicate with LPA and they all expressed the food was cold, but they can ask to be re heated. LPA went over food requirements with cook and TJ and explained the food should be warm and the solution is not to reheat it because the food is being left there for several minutes. LPA toured the kitchen and observed the refrigerators and freezer need a little cleaning. LPA also observed that the dishes appear to be getting washed by hand and the unit that they have to do a disinfecting cycle was observed to have the rack filthy with dark dirt/stain. LPA requested TJ to show LPA how it worked and after a few minutes when the machine finished, LPA observed that the machine does not operate with Hot water and the dishes came out cold. LPA requested facility to get machine fixed so that it is operational and provide proof. All notices that are required to be posted have been posted and are in a highly visible area. LPA observed activity supplies for resident use. The amount of fresh and nonperishable foods is within regulation. Continued on LIC809-C... Water temperature measured within regulation between 105 and 120 degrees F at faucets accessible to residents. There was enough lighting in all common areas, resident rooms, and hallways. Medication is centrally stored and locked. Fire extinguishers located in the kitchen and hallways was last inspected 01/12/2024. Smoke alarm system and sprinkler system were last inspected 7/3/2024. The last Disaster Drill was conducted on 7/3/2024. Staff and 12 out of 14 resident records were reviewed. Administrator Certificate for Rashmika Mahawal, #6029802740 expired March 5, 2024 but was said to have been renewed. Staff have required First Aid and CPR certificates. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 10/8/2024: LIC500- Personnel Report LIC9020- Register of residents Evidence of Liability Insurance Copy of current Administrator Certificate No deficiencies cited during todays visit.