Routine inspection·December 15, 2023

Licensing Program Analyst (LPA) Canela arrived unannounced, to conduct an Annual Required 1 YR inspection and was greeted by care staff, and Licensee/Administrator, Art Villegas. LPA toured facility and grounds and observed all required signs posted in common areas. Infection control practices are present. Facility has a 30-day supply of PPE. Facility has also submitted their Infection Control plan, which is a part of their Plan of Operation. Facility was found to be at a comfortable temperature with all exits free from obstruction. Facility has at least two days supply of perishable and one week of non-perishable foods, LPA reminded facility to use proper freezer bags to store items that are not in the original container. Fire Extinguishers were fully charged, and have proof of service on 12/14/2023. Smoke detectors and carbon monoxide detectors were operational. Fire drills are conducted every three months.. Water temperature in the resident bathroom was tested and found to be within appropriate range of 105-120 degrees. Exit doors have auditory alarms to alert staff. The bedrooms are all furnished as required. Bathrooms were clean and sanitary with non-skid mats/floors and grab bars. Resident and staff files are located and locked in office. LPA reviewed resident files and staff files. Staff have proof of required annual training and CPR/1st Aid certificates expiring 12/2024. Continue report See LIC809-C LPA discussed Emergency Disaster Plan and Infection Control Plan. LPA went over Community Care Licensing links that LPA will email to facility to view informational PINS, Guardian and quarterly updates. During todays visit, LPA requested facility to review and get clarification on resident R1 ambulatory status and update LPA by 12/21/2023. LPA also provided guidance and forms needed to be submitted to Community Care Licensing for any changes in the facility ambulatory/non-ambulatory/bedridden room use. Licensee/Administrator to submit all the below documents to LPA by 1/20/2024 and LPA will review and update file. · LIC 308 Designation of Facility Responsibility · LIC 500 Personnel Report- · LIC 400 Affidavit Regarding Client/Resident Cash Resources · LIC 610E Emergency Disaster Plan · LIC 9020 Register of Facility Residents Infection Control Plan of Operation (If changes) Copy of Liability Insurance- Copy of Administrator Certificate No citations issued during todays inspection.