Routine inspection·March 28, 2023

Licensing Program Analysts (LPAs), Farhaan Sarangi and Dina Alviso arrived unannounced at Clearwater at Sonoma Hills for the purpose of conducting a Required 1 year inspection. LPAs met with Administration Staff, Janna O'Sullivan, and was granted access into the facility. During the tour of the facility, LPA found a Medication Technician was not background cleared. (See LIC 809D, and See LIC 812-Background Clearance History for Medication Technician). Civil Penalty was also assessed. LPAs toured the facility with Administration Staff, Janna O'Sullivan. LPAs observed the facility to be clean and at a comfortable temperature with all exits free from obstruction. Perishable and Non-Perishable foods were observed in the kitchen fridge and freezer that was stored as per regulation. LPAs observed a large dining room that seat guests and residents. Water temperature on the second floor Assisted Living unit had a temperature of 117 degrees which is within Title 22 regulations. Water temperature on the first floor Memory Care Unit that had a temperature of 118 degrees in the faucet which is within Title 22 regulations, showers are equipped with Non-slip floors and handrails by shower and toilets for residents use. LPAs also observed the egress door in the Memory Care unit that is properly operational and functioning at this time. While touring, LPAs observed the Memory Care Unit dining room that was appropriate during the inspection. LPAs observed the outdoor seating area with tables and chairs along with two red corn hole decks outside of the Memory Care Unit. LPAs observed the locked Memory Care Unit Medication Room along with the locked Laundry room and Housekeeping room that keeps the hazardous toxins locked and inaccessible to residents in care. However, during the tour of the Assisted Living portion of the facility, both LPAs observed the cleaning supply cart to be unlocked and accessible to residents in care (See LIC 809D) . All fire extinguishers were last serviced on November 18, 2022. First floor Bar is currently not servicing any residents at this time and the facility is working on hiring staff. LPAs observed the exercise room where residents can have access to those amenities. Exercise room is open and operating with staff supervision. LPAs observed a total of 2 evacuation chairs in 2 of 2 stairwells as required by Title 22 regulations. (Report continued on LIC 809C) Resident files were reviewed and residents were interviewed during the Required 1 year inspection. Staff files were reviewed. However, during the staff file review, 4 out of 5 staff files did not have a valid First Aid/CPR (See LIC 809D). LPA requested the following documents to be sent: LIC 500- Personnel Report LIC 308- Designation of Responsibility LIC 309- Administrative Organization LIC 400- Affidavit regarding Client Cash Resources Updated facility sketch Updated Emergency Disaster Plan (LIC 610E) Surety Bond Most up-to-date Liability insurance Control of Property Register of residents Fire Alarm System test The following deficiencies were observed (See LIC 809D) and cited from the California Code of Regulations, Title 22, Division 6, Chapter 8 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and a copy of this report along with appeal rights were given to Facility Administration.