Routine inspection·October 17, 2024

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required inspection and met with Janine Sorensen, back up Administrator. Licensee Ami Kumar arrived later. LPA/staff initiated a tour of the facility at 2:05 pm and observed the following: Facility was a comfortable temperature and passageways were free from obstructions. Resident rooms were furnished per regulation. Bathrooms have required mats and grab bars. Water in resident bathrooms measured at 108.4 F, 115.2 F and 112.2 F which are within the range allowable by regulation. Extra linens and hygiene products were available. Toxins are stored in a locked cabinet under the kitchen sink and locked cabinet in the laundry room. Medications are centrally stored and locked in a kitchen cabinet. Facility has at least two days of perishable and one week of nonperishable foods of good quality. Fire extinguishers were all charged and last serviced April 2023. Smoke alarms are hard wired with sprinklers and fire doors on each resident room as well as a fire door in the hallway. Smoke alarms and carbon monoxide detector was tested and operational at time of inspection. Last Disaster drill was conducted on 7/15/2024. Required postings were observed. File review was initiated at 2:30 pm. Three staff and six resident files were reviewed. Residents have current medical assessments and care plans. All staff have required additional 20 training hours and 1st aid/CPR Certificates current. Administrator Certificate for Ami Kumar, 7006603740, expires 11/8/2024. Medication and medication records were reviewed. Annual fees are current. Contact information was reviewed. The facility agrees to submit updates of the following documents by 10/31/24: Designation of Administrative Responsibility (LIC308), Personnel Report (LIC500), copy of liability insurance certificate. 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 provided.