Routine inspection·October 10, 2024

Licensing Program Analyst (LPA) Cuadra arrived unannounced for the purpose of conducting Required 1 Year inspection and met with Veronica De-Leon (Assisted Living Director) . Annual fees are current. Contact information was reviewed. Required postings were observed. There are residents with a diagnosis of dementia and receiving hospice services. LPA/Staff toured the buildings and grounds were found to be of a comfortable temperature, clean, in good repair and well organized including; living room, mobile kitchen, dining room; bathrooms; and laundry room, where walkways and exits were unobstructed. Water temperature measured 106.3 (room #3), 105.4 (room #6), 105.4 (room #9), 103.8 (room #20), 111.4 (room #23), 104.7 (room #15), 109.8 (room #31) and 112.1 (room #33) which a couple of them were not within regulation between 105 and 120 degrees F at faucets accessible to residents. Bathrooms have required grab bars and skid mats. Resident's rooms that have a sign of "No smoking-oxygen in use" have reports of notification to the fire departments on file. However, resident's bedroom (#3, #9, #15, #23 and #33) needs garbage cans to have a tight-fitting cover lids to prevent the transmission of any communicable disease or odor (technical violation issued). Resident room #15 needs a chair (technical advisory issued). Resident room #33 needed toilet paper (technical violation issued). Emergency lighting was observed. LPA pulled several cords in resident's rooms, which were found operational by alerting staff and staff responded within two to three minutes in average. The amount of fresh and nonperishable foods is within regulation. Facility kitchen, refrigerators and freezers were clean, and food was stored properly. Modified diets prescribed by doctor were posted on kitchen refrigerators to alert staff of special food needs. Toxins are stored in a locked storage closet. Continues on LIC809C... Continued from LIC809... Fire extinguishers were charged and service as of September 2024. Facility has fire sprinklers throughout and wired smoke detectors that are serviced yearly by outside company. Last fire inspection report dated 8/8/24 was found within compliance. Disaster and Fire Drills are conducted, last drill was on 9/19/2024. Carbon monoxide detectors were tested and operational. Medication is centrally stored and locked. 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. The facility has auditory system and 15 second delayed egress. There are surveillance cameras installed in common areas and two outside, facility understands surveillance cameras may not violate residents privacy. Residents were observed engaged in activities. Activity and menu calendar was observed. LPA initiated file review at approximately 10:30AM, LPA reviewed 10 resident records and 5 staff files. Residents have updated medical assessments. However, two out of ten resident's (R1 & R2) care plans has not been updated within the last 12 months as indicated per regulation. Four out of five staff (S1, S2, S3 & S4) do not have a current CPR/1st aid certificate and do not have complete required training hours as stated per regulation. Administrator's certificate for Linda Cho #6003642740 expires 4/18/2025. Medication and medication records were reviewed. Facility will submit updates of the following to CCL by 10/31/2024: LIC 500- Personnel Report, LIC 308- Designation of Responsibility and Current certificate of liability insurance. 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. Exit interview conducted with Assisted Living Director and copy of this report was given.