Routine inspection·July 30, 2024

Licensing Program Analyst (LPA) Cuadra conducted an unannounced Annual Required Inspection and met with Licensee Nicholas Ray. Annual fees are current. Contact information was reviewed. LPA/Licensee initiated a tour of the facility at 9:00 am. Facility passageways were free of obstruction. Hot water temperature measured at 124.7 and 123.4 degrees F which is not within the range allowed per regulation (technical violation issued). Licensee adjusted water heater immediately. Smoke detectors and carbon monoxide was tested and operational. Two fire extinguishers were charged and serviced December 2023. Working auditory alarms are placed on all exits. Disinfectants and cleaning solutions were stored inaccessible to residents. Hygiene and bedding supplies were available. Non-perishable and perishable food supply met the minimum requirements. Required postings were observed. Medications and medication records were reviewed. -No activities were conducted during LPA's visit. LPA/Licensee discussed the importance of having activities on a regular basis (technical violation was issued). -Last disaster drill have not been conducted within the last quarter (technical violation was issued). -Garbage cans located in the bathrooms did not have cover to prevent the transmission of communicable disease or odors (technical violation was issued). LPA initiated file review at 10:00 am. LPA reviewed five residents files and three staff files. Residents medical assessments and needs service plans are current. One out of three staff do not have current First Aid/CPR certificates (technical violation issued). Two out of three staff (S1 & S2) needs 20 hours of additional required training. Administrator Certificate for Nicholas Ray, 6027071740, expires on 6/24/2025. Continue on LIC809C... Continued from LIC809... During tour of the facility LPA/Licensee observed a camera located on top of a dresser in shared resident's (R1 & R2) bedroom. LPA found that the camera was purchased by the Licensee with the purpose of motion sensor and does not recording nor auditory device to alert staff during overnight hours. LPA/Licensee discussed the need for an exception in order to continue using the camera in R1's & R2's bedroom as it is a private space and potential violation of resident rights. Licensee removed camera immediately and agreed to review with both resident's family and submit an exception letter request to CCLD along with appropriate documentation if they are in agreement or replace it with a motion detector device. Otherwise, the licensee agreed to don't install them back to the shared bedroom. The Department to review and return at a later date. Also, there are cameras located in common areas and resident's admission agreement were not updated reflecting the use of cameras without audio in common areas. Licensee to submit updates of the following documents by 8/16/2024: Designation of Administrative Responsibility (LIC308), Personnel Report (LIC500) and copy of liability 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 conducted with Licensee and copy of this report was given.