Routine inspection·September 12, 2023

At approximately 09:00AM, Licensing Program Analyst (LPA) Carol Fowler arrived unannounced to conduct a Required 1 Year annual inspection and met with Staff Member, Jainendra Prasad. Facility has an approved fire clearance for 6 non-ambulatory residents total capacity of 6 residents. Administrator, Sneh Lata Prakash, is out of town, LPA spoke with her via phone. LPA conducted a tour of the facility and observed the following: the facility was clean and at a comfortable temperature with all exits free from obstruction. Bathrooms were equipped with necessary grab bars, and non-slip floors/mats were present. Toxins were secure and not accessible to residents. There is a sufficient supply of hygiene products, paper products, and linens available for resident use. Mattress pads were in place or available for resident use. Medication was centrally stored and secure. LPA reviewed 3 of 3 resident records, which were complete. LPA reviewed a sample of staff records LPA reviewed 2 of 3 requested. Two of staff files were incomplete and Administrator file missing from the facility. Administrator's Certificate (6034507740) has expired as of 4/23/2023. Administrator stated that she has renewed certificate and waiting for delivery. LPA and Administrator discussed facility's emergency and evacuation plan. The facility's last fire and evacuation drill will be conducted 01/5/2023. Facility's fire extinguishers were last inspected January 12, 2023. Smoke detectors and carbon monoxide detectors were tested and operational. The amount of fresh and non-perishable foods are within regulation. Hot water temperatures for all sinks in facility were within Title 22 regulations of 105 to 120 degrees Fahrenheit. Continued on LIC809C. Continue from LIC809 During the tour LPA observed the following deficiencies: Staff files are incomplete and missing from the facility. No fire clearance for bedridden resident. LPA conducted staff interviews, residents have dementia. 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 Infection Control Plan · Active and Current Administrator Certificate Facility Documents to be submitted to Community Care Licensing (CCL) by due date of Wednesday 09/20/2023 Deficiencies are cited from the California Code of Regulations (CCRs), Title 22 and the Health and Safety Code. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Appeal Rights Given.