Routine inspection·August 29, 2023

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required inspection and met with Licensee, Lisa Melo. Required postings were observed. LPA/Licensee initiated a tour of the facility around 9:00 am and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Residents rooms were furnished per regulation. Extra hygiene products and linens were available. Facility has at least two days of perishable and one week of non-perishable foods which appeared to be of quality and stored per regulation. Hot water temperature in bathrooms used by residents measured at 106.3, 105.4 and 105.2 degrees F which are within the range of 105 to 120 degrees F allowed per regulation. Fire extinguisher was last serviced October 2022. Smoke detectors and carbon monoxide detector in the hallway was tested and properly working. Last disaster drill conducted on 8/7/23. Working auditory alarms are placed on all exits. Disinfectants and cleaning solutions were stored inaccessible to residents. Administrator Certificate for Lisa Melo, 6022235740, expires on 11/16/2024. Medications were reviewed, centrally stored and locked. LPA initiated file review at 10:00 am. LPA reviewed five residents files and three staff files. Two out of five residents (R1 & R3) files does not have a current medical assessment and care plans were not signed by their responsible party within the last 12 months. Staff records have current First Aid/CPR certificates and additional 20 hours of required training. Licensee submitted updates of the following documents: Designation of Administrative Responsibility (LIC308), Personnel Report (LIC500) and Copy of Liability Insurance. Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview was conducted with Licensee and a copy of this report was provided.