Routine inspection·March 10, 2025

At approximately 9:40 AM, Licensing Program Analyst (LPA) Star Stevenson made an unannounced annual required inspection of this licensed senior care facility. LPA met with April Thomas - Administrator. Four (4) staff members were present and four (5) clients in care. Staff member S1 was not associated and cleared to work at the facility (type A deficiency issued) At approximately 10:10 AM, LPA toured the building and grounds which was found to be clean and in good repair. LPA observed all walkways and exits to be unobstructed. Facility observed to have a large open and shaded outside area, All notices that are required to be posted including personal rights and "see something, say something" and ombudsman have been posted and are in a highly visible area. LPA observed activity supplies for resident use. Facility kitchen, refrigerators and freezers were clean, and a variety of healthy food was stored properly. Toxins and centrally stored meds were observed to be locked in a storage closet. Sharps and knives were locked as required. Water temperature measured within regulation between 105- and 120-degrees F at faucets accessible to residents. Fire extinguishers inspected were charged. Smoke detectors were found to be in working order. Carbon Monoxide detectors were present. There was enough lighting in all common areas, resident rooms, and hallways. At approximately 11:15 AM, LPA reviewed 5 of 5 resident records and found 5 of 5 residents did not have current signed personal rights or consent for medical treatment (technical violations issued) None of the clients in care were indicated as bedridden on the MD LIC602 forms. At approximately 1:30PM, LPA reviewed 4 staff records. 3 of 4 records did not contain health screening as required (technical violation issued). Evidence of current first aid and CPR training were current. Continued on LIC809C Continued for LIC809 Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: Proof of control of property (Deed or tax documents showing ownership) LIC500- Personnel Report LIC610E- Disaster Plan (update if need and sign) LIC308 Current designation of facility responsibility) Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. This report was reviewed with Administrator April Thomas, whose signature indicates receipt..