Routine inspection·November 9, 2023

At approximately 8:30am Licensing Program Analysts (LPAs) Christi Coppo and Christopher Arnhold arrived unannounced to conduct a required Annual inspection and was greeted by Adriana Guerrero, Caregiver. Licensees Aida and Germain Reznik arrived later at approximately 9:30am. Facility currently has 2 residents on hospice which is allowable per the facility's Hospice Waiver for 4. Facility contact information was reviewed and Licensee verified all contact information is accurate. At approximately 9:00am LPAs and Licensee toured the building and grounds. The facility was found to be clean and at a comfortable temperature. LPAs observed at least a 2 day supply of perishable and 7 day supply of non-perishable food. Food was found to be stored in a safe manner with open items covered and labeled. Facility has garden and large outside area which is appropriate for outdoor use by residents; it is secured by a completely enclosed fence. Kitchen cabinet containing cleaning supplies was locked. Sharp knives in kitchen are inaccessible to residents. From approximately 9:00am to 10:30am LPAs observed residents engaged in special musical entertainment and staff lead exercise activities. At approximately 2:10pm LPA observed residents again engaged in special musical entertainment. All bedrooms were equipped with lighting, night stand, and chest of drawers. All bedrooms were clean and in good repair. Extra hygiene products and linens were available. Resident bathrooms had required bath mats and grab bars. Water temperature in sink accessible to residents in care measured at 88.2, 87.3 and 126.7 degrees F which is not within the allowable ranges of 105 to 120 degrees F, per Title 22 regulation 87303(e)(2). Licensee immediately turned down water heater. Licensee was not able to get a consistent temperature reading within regulation. LPAs observed residents to need assistance in restrooms. Licensee has contacted hot water tank installer to address water temperature regulation and delivery. Appointment has been set for week of 11/13/2023. Fire extinguishers were last inspected January 6, 2023. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. All exit doors in resident rooms have auditory alert bells that were functional at time of inspection. Facility’s last quarterly disaster drill was conducted on 10/06/2023. Facility has a backup generator for use during a power outage. Continued on 809C..... Continued from 809.... At approximately 11:00am LPAs conducted a review of 5 resident and 5 staff records. Files were complete. Cleaning products and laundry soaps are located in a locked cabinet in the laundry room and inaccessible to residents in care. At approximately 2:00pm LPA and Licensee conducted a spot check of medication and medication records. Medication is centrally stored in a locked closet located in the foyer next to the kitchen. Aida Reznik Administrator Certificate 6034483740 expired 04/11/2023; however, certificate is currently in Renewal-Pending status. All fees are current as of this time. LPA and Licensee discussed Infection Control Plan. Licensee will send copy of Infection Control Plan to CCL within 30 days. LPA and Licensee discussed Emergency Disaster Plan. Licensee confirmed no updates needed. 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 LIC308- Designation of Responsibility Copy of Infection Control Plan Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. 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 Licensee and a copy of this report was given.