Routine inspection·September 21, 2023

Licensing Program Analysts (LPAs) Cuadra and Coppo conducted an unannounced required annual visit and met with Administrator Kathleen & George Albano. There are 6 residents in care some with a diagnosis of dementia and receiving hospice services. Required postings were observed. LPA/Administrator toured the building and grounds which was found to be clean and in good repair. Passageways were observed unobstructed. 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. Hot water temperature in bathrooms used by residents measured at 105.3 degrees F which are within the range of 105 to 120 degrees F allowed per regulation. Fire extinguisher was last serviced September 13, 2022. Smoke detectors and carbon monoxide detector are hardwired and fire door located in the hallway were tested and properly working. Last disaster drill conducted on 6/10/23. Working auditory alarms are placed on all exits. Disinfectants and cleaning solutions were stored inaccessible to residents. Administrator Certificate for Kathleen Albano, 6050072740, expires on 6/7/24. Medications were reviewed, centrally stored and locked. A spot check of medications revealed that centrally stored medications log has discrepancies and an omission of dates filled and prescription number. LPA initiated file review at 1:00 pm. LPA reviewed six residents files and five staff files. All residents files do have a current medical assessment. However, care plans for 3 out of 6 (R1, R2 & R3) residents were not signed by their responsible party within the last 12 months. Also, 2 out of 5 (S1 & S2) staff records do not have current First Aid/CPR certificates and 4 out of 5 staff records needs(S1, S2, S3 & S4) additional 20 hours of required training. Licensee agreed to submit updates of the following documents by 10/12/23: Designation of Administrative Responsibility (LIC308), Personnel Report (LIC500) & 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.