Routine inspection·January 31, 2024

Licensing Program Analyst, Cuadra, arrived unannounced to conduct an Annual Required Inspection and met with Licensee, Orr Chistiakoff. Required postings were observed. Annual fees are current. LPA/Licensee initiated a tour of the facility at 11:40 am and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Resident rooms were furnished per regulation. Water temperature in resident's bathroom measured at 105.6 degrees F which are within allowable range of 105 to 120 degrees F. Extra hygiene products and linens were available. Bathrooms had required bath mats and grab bars. Cleaning supplies stored under kitchen sink and in outside laundry room were inaccessible to residents in care. Knives and other items that could pose a risk were locked. Facility has at least two days of perishable and one week of non-perishable foods. Medications were centrally stored and locked. Fire extinguisher was last inspected March, 2023. Smoke detectors and carbon monoxide detector located throughout the facility were tested and operational. Exit doors have auditory alert system and were functional at time of visit. Last Disaster drill was conducted on January 11, 2024. Medications and medication records were reviewed. LPA initiated file review at 12:00 pm. Two staff files and six resident files were reviewed. Staff have required CPR/1st aid and 20 hours annual training hours. Five out of six residents (R1, R2, R3, R4 & R5) care plans has not been updated within the last 12 months. One out of six residents (R3) needs current medical assessment. Administrator Certificate for Administrator, Medardo A Galvez, 6058961740, expires on 4/12/25. Licensee/Administrator to submit updates of the following documents by 2/7/24: Designation of Administrative Responsibility (LIC308), Personnel Report (LIC500) and Liability Insurance Certificate. 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 with Licensee and a copy of this report was given.