Post-licensing visit·January 5, 2024

At approximately 11:15AM, Licensing Program Analyst (LPA) Chris Arnhold made an unannounced Post Licensing inspection of this licensed senior care facility. LPA met with Assisted Living Director Veronica de Leon-Tan. At approximately 11:30AM, 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. 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. Facility kitchen, refrigerators and freezers were clean, and food was stored properly. Toxins are stored in a locked storage closet. 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. Facility has fire sprinklers throughout. Carbon Monoxide detectors were present. There was enough lighting in all common areas, resident rooms, and hallways. Medication is centrally stored and secure. At approximately 11:45AM, LPA reviewed 6 resident records and found 4 of 6 residents did not have current physician's reports or care plans. 6 of 6 records contained current and signed admission agreements and medication records are thorough and contained physician's orders for each resident. At approximately 1:25PM, LPA reviewed 7 staff records. All records contained documentation of completed training as required. Evidence of current first aid and CPR training were present. At approximately 1:50PM, LPA reviewed the facility emergency disaster plan with staff. Facility has a generator to supply power during an outage. The plan outlines evacuation routes, which are shown on facility sketch and has alternative meeting locations. Facility has supplies enough to operate for more than 72 hours in an emergency. Facility conducts and documents disaster drills quarterly. Continued on LIC809-C... LPA received evidence of Liability Insurance during this visit. 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 wit h Veronica de Leon-Tan and Appeal rights were given.