Routine inspection·June 18, 2024

Licensing Program Analysts (LPA) Christi Coppo and Jacky Macias arrived unannounced to conduct a required Annual inspection and was greeted by staff. Administrator Eva Karikari arrived shortly after. At approximately 09:30am LPAs and Admin 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. Kitchen drawer with sharp knives locked. 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 118, 113.2, 118.4, 119.4 and 118.5 degrees F which is within the allowable range of 105 to 120 degrees F. LPAs discussed with Admin about adjusting water heater temperature slightly as to avoid going over 120 degree threshold. Fire extinguishers were last inspected 5/15/2024. Smoke/Carbon Monoxide detectors located throughout the facility were present. Facility’s last quarterly disaster drills were conducted 4/12/2024. Facility has a backup generator for use during a power outage. At approximately 10:00am LPAs conducted review of 5 staff records. S2, S3, S4, S5 have did not have current annual training in the amount of hours required. S1 has no current First Aid/CPR Certification ( deficiencies cited, see 809D ). At approximately 11:00am LPAs conducted a review of 5 resident records. All required documentation present. Continued on 809C... Continued from 809... At approximately 12:00pm LPA and Admin conducted a spot check of medication and medication records. Medication is centrally stored in a locked cabinet. No deficiencies. Administrator Eva Karikari 6046713740 Certificate expires 1/26/2024. Licensee/Admin provided proof of renewal payment. LPAs verified payment by viewing check issued. LPA and Administrator discussed facility's Infection Control Plan and Emergency Disaster plan. No new updates. 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 Liability Insurance Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Appeal rights given and discussed with Licensee. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted with Administrator and a copy of this report was given .