Routine inspection·March 11, 2025

Licensing Program Analysts (LPAs) Cuadra and Contreras arrived unannounced to conduct an Annual Required Inspection and met with staff, Rosa Ascencio. Licensee, Leah Archer came to the facility and gave permission for caregiver to sign report. Annual fees are due today in the amount of $495, Licensee notified. LPA/staff initiated a tour of the facility at 9:00 am and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Resident rooms were furnished per regulation. Garbage cans located in bedrooms did not have a cover and room 1 had a smell of urine (technical violation issued). Water temperature in resident's bathroom measured at 105.6 degrees F which is within allowable range of 105 to 120 degrees F. Extra hygiene products and linens were available. Bathrooms had required grab bars. Kitchen cabinet containing cleaning supplies was locked. Medications were centrally stored and locked. Fire extinguisher charged and serviced as of February 2025. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Exit doors have auditory alerts that were functional at time of visit. Last disaster drill was conducted on January 2025. Facility has at least two days of perishable and one week of non-perishable foods. LPAs had a discussion with licensee regarding the benefits of having more food supply (technical advisory issued). At approximate 9:15am LPA/staff observed dry food containers did not have expiration dates. Continues on LIC809C... Continued from LIC809... File review was initiated at 10:00 am. Three staff files and five resident files were reviewed. Two out of five residents (R1 and R2) care plan needs to be updated (technical violation was issued). Two out of three staff (S1 and S2) did not have health screening and TB results. Staff have required First Aid and CPR certificates. Training hours were complete. Administrator certificate for Administrator Leah Archer # 7009822740 expired on 12/23/24. LPAs reviewed and confirmed that Administrator is currently in the Department's pending list for review. LPA/staff conducted review of medications and their records. Required postings observed. Licensee to submit updates of the following documents by 3/25/2025: Designation of Administrative Responsibility (LIC308), Personnel Report (LIC500) and a 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 conducted with staff, Licensee was notified about deficiencies found during today's visit and a copy of the report was given.