Routine inspection·August 25, 2023

Licensing Program Analyst (LPA) Marisol Cuadra arrived unannounced to conduct an Annual required inspection and was greeted by staff. Licensee Joel Trinidad arrived later. LPA/Licensee initiated a tour of the facility around 9:00am and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Residents rooms were furnished per regulation. Extra hygiene products and linens were available. Facility has at least two days of perishable and one week of non-perishable foods which appeared to be of quality and stored per regulation. Two fire extinguisher was last serviced August 2023. Smoke alarms and carbon monoxide alarms were tested and operational at time of inspection. Last Disaster drill was conducted on 03/23. Working auditory alarms are placed on all exits. Disinfectants and cleaning solutions were stored inaccessible to residents. Required postings were observed. Administrator Certificate for Joel Trinidad, 6022722740, expires on 11/22/24. Medications were centrally stored and locked. Hot water temperature reading was 112.8 and 114.4 degrees which is within regulation. LPA initiated file review at 9:30 am. LPA reviewed five residents files and five staff files. All residents files have a current medical assessment and care plans updated within the last 12 months. Staff records have current First Aid/CPR certificates and additional 20 hours of required training. At approximate 10:00am LPA/staff conducted a spot check of medication and found resident's (R1 & R2) medications were not current into the Centrally Stored Medication. R1's medication Pravastatin 10mg tab and R2's medication B12 1000mcg vitamin. Licensee agreed to review and update the Centrally Stored Medication Records. Licensee agreed to submit updates of the following documents by 9/1/23: Designation of Administrative Responsibility (LIC308), Personnel Report (LIC500) and 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 was conducted with Licensee and copy of this report was given.