Routine inspection (multi-day)·January 9, 2024

Licensing Program Analyst(LPA) Alviso conducted a continued annual inspection, on 1/9/24 at approximately 2:45pm, and met Administrator Robert Alvarado. Facility has an approved dementia plan of operation. There is an approved hospice waiver for eighteen (18) residents. Fire clearance is approved for one hundred (100) non-ambulatory, of which twenty (20) may be bedridden. The facility has an emergency disaster plan as required. The facility has a required infection control plan. LPA reviewed ten (10) resident files. Records were complete. LPA reviewed ten (10) staff records. All staff have criminal record clearance as required by regulation. LPA reviewed staff training on file. Facility was observed to be clean, orderly, and at a comfortable temperature during today's visit. All common areas, hallways, and bathrooms observed by the LPA had sufficient lighting. Bathrooms observed had grab bars, and non-slip mat/flooring for bathing/showering as needed. The facility has emergency supplies, including food and water to meet requirements of the 72 hour shelter in place. The kitchen was observed to have a sufficient supply of perishable and non-perishable food. Facility has a sufficient supply of cleaners, hygiene items, PPE supply, and paper products. All medications were locked and inaccessible to residents in care. All toxins/cleaners were locked and inaccessible to residents in care. All exits were observed to be unobstructed. All fire extinguishers were serviced and tagged 10/23/23. The last fire drill was conducted 12/19/23; Facility completes fire/emergency drills monthly. Continued on LIC809C... LPA is requesting the following documents be updated and submitted by 2/9/24: LIC308 - Designation of Administrator Responsibility LIC500 - Personnel Report LIC610E-Emergency Disaster Plan -Submit if any changes and/or submit last page documenting annual review was completed. Infection Control Plan- Submit if any changes and/or submit letter/ page documenting annual review was completed. Copy of LIC400 Handling of Client Cash Resources, include copy of surety bond. Copy of Current Liability Insurance Copy of current Administrator Certificate No deficiencies cited today. Exit interview conducted with Administrator Robert Alvarado.