Routine inspection·April 26, 2024

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by Caregiver. Administrator Maggie Garcia, arrived later. Facility contact information was reviewed. At approximately 9:15am LPA and Admin toured the building and grounds. The facility was found to be clean and at a comfortable temperature. LPA 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 cabinet containing cleaning supplies was locked. 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. Water temperature in sink accessible to residents in care measured at 110.8 degrees F which is within the allowable range of 105 to 120 degrees F. Resident bathroom had required bath mat and grab bar. Required bath mat present in shower, but black spots and film present on top and underneath of mat in shower. Per Title 22 regulation 87303(e)(5) Non-skid mats or strips shall be used in all bathtubs and showers ( deficiency cited, see 809D ). Fire extinguishers were last inspected 4/14/2023. Per Tile 22 regulation 87202(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department...( deficiency cited, see 809D ). Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational, last serviced on 11/2023 by Santa Rosa Fire Equipment Service Inc. Facility has a backup generator for use during a power outage. At approximately 10:30am LPA conducted a review of 5 staff records. Five [5]out of five [5] staff members did not have required number of training hours completed. Continued on 809C... Continued from 809... Per Health and Safety Code HSC1569.625(b)(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually...and may include online training ( deficiency cited, see 809D ). Three [3] out of five [5] staff did not have TB screen. Per Title 22 regulation 87411(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure...( deficiency cited, see 809D ). At approximately 11:00am LPA conducted a review of 6 resident records. Resident (R3) has diagnosis of dementia but their LIC602 Physician's Report was last done 2/28/2022. Per Title 22 regulation 87705(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment...( deficiency cited, see 809D ). Residents R1 and R5 did not have doctors orders for 1/2 bed rails present. Per Title 22 regulation 87608(a)(5)(A) A bed rail that extends from the head half the length of the bed and used only for assistance with mobility shall be allowed ( deficiency cited, see 809D ). At approximately 12:30pm LPA and Admin conducted a spot check of medication and medication records. Medication is centrally stored in a locked cabinet. Maggie Garcia Administrator Certificate 6027894740 expires 5/5/2025. All fees are current as of this time. LPA and Administrator discussed facility's Infection Control Plan and Emergency Disaster plan. No new updates. Continued on 809C(2)... Continued from 809C(2)... 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 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 .