Routine inspection·April 30, 2024

At approximately 9:00AM, Licensing Program Analysts (LPAs) Mutialu and Florio made an unannounced annual required inspection of this licensed senior care facility. LPAs met with Robertson Cirineo , Administrator and Josephine Credo, licensee arrived shortly after . At approximately 9:15AM, LPAs toured the building and grounds which was not found to be clean and in good repair. LPAs observed refrigerators and behind stove to be soiled and unclean, wall behind door in need of repair, paint and insect killer outside and accessible to clients. LPAs observed food not properly stored in the refrigerator and freezer, food was not covered and shown signs of freezer burn. LPAs observed 1 exit to be obstructed in C1 room, medical equipment and wheelchair found in front of emergency exit. LPAs observed open-faced heater in the hallway. Advised licensee open faced heaters are not allowed when caring for dementia clients. 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. Advised licensee need updated activity calendar. The amount of perishable and nonperishable foods is with in regulation.Water temperature did not measure within regulation between 125.7 and 129 degrees F at faucets accessible to residents. Administrator lowered water heater temperature and water temperature was measured in regulation measuring between 105 and 120 degress F. Six out of six fire extinguishers inspected were charged. Smoke detectors/carbon monoxide signalling system passed fire inspection as of September 2023 and were found to be in working order. Facility has fire sprinklers throughout the facility and passed fire inspection as of April 2024. There was enough lighting in all common areas, resident rooms, and hallways. Medication is centrally stored and secure. At approximately 10:45 AM, LPA reviewed 5 of 9 staff records. 4 of 5 records did not contain documentation of completed training records as required. Advised licensee all staff training needs to be up to date and completed by POC date of 05/07/2024. Evidence of current first aid and CPR training were current. At approximately 12:15 PM, LPAs reviewed 5 of 15 resident records and found 2 of 5 residents did not have care plans. 1 of 5 records do not contain current and signed admission agreements. Advised licensee client records need to be kept up to date and training needs to be completed by POC date. Medication records are thorough. Continued on 809C Report Amended Continued from 809 At approximately 1:00 PM, 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 conducted and documented a disaster drill on 03/24/2024 for both day and night shifts. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report Evidence of Liability Insurance Civil Penalties assessed for repeat violations for CCR 87307(d)(6) totalling $250 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 with Josephine Credo and Appeal rights were given.