Routine inspection (multi-day)·February 15, 2024

At approximately 11:00AM, Licensing Program Analyst (LPA) Felias arrived unannounced to continue a Required 1 Year visit and met with Resident Services Coordinator, Marissa Vargas, and Business Office Manager, Danielle Oseguera. Facility provides care and assistance to Older Adults in Assisted Living and Memory Care. Facility has a plan of operation for dementia care and programming on file. Facility has an approved fire clearance for 40 ambulatory, 100 non-ambulatory, which includes 20 bedridden for a total capacity of 140 residents. Facility has an approved hospice waiver for 15 individuals. Upon arrival, LPA was informed that there were currently 82 residents in care. LPA was also informed that there were 7 direct care staff members on-site. LPA reviewed 5 staff files and 4 resident medications. Staff files were found to be well organized and thorough. During file review, LPA observed that two staff members did not have current first aid certificates. (See Technical Violation, LIC9102, H&S Code 1569.618(c)(3)). During medication review, LPA observed that one resident had three routine medications that were not documented or centrally stored as required (this deficiency has been cited, see LIC809D, 87465(h)(6)). Facility's last fire/disaster drill was conducted January 2024. Facility's smoke detectors and sprinkler system were last inspected February 2024. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiencies, on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. Exit interview conducted. Copy of report, LIC809D, LIC9102 (Technical Violation), Plan of Corrections, and Appeal Rights discussed and provided to Business Office Director and Resident Care Coordinator. Signature on form confirms receipt of documents.