Routine inspection·February 24, 2023

Unannounced annual visit conducted on 02/24/2023 by Licensing Program Analysts (LPAs), Kimberly Viarella and Charlie Yang. LPAs were met by staff member, Floradeliza Manalo, who was informed of the purpose of the visit and instructed to call the facility designated Administrator, Lolita Ramit. Ms. Manalo was interviewed briefly. The designated Facility Administrator's certificate, #6047254740, for Lolita Ramit was set to expire on 02/12/2024. Current census was 5 residents. It was learned that there weren't any residents under the care of hospice or home health at this time. It was learned that all of the residents were diagnosed with dementia. This facility does have an approved dementia program on file at this time. LPAs observed exit alarms on the doors. Fire extinguishers were inspected 01/13/2023 by Assured Fire Extinguisher Company and observed to be in compliance at this time. The kitchen was inspected and all drawers and cabinets were opened. Knives were kept in a locked drawer. There was an adequate supply of 2 day perishable and 7 day non-perishable food supply at this time. LPAs observed toxic chemicals in locked cabinets. Bathrooms were inspected and LPAs observed grab bars and non-skid surfaces. The water temperature was reviewed to ensure it was within the allowed range of 105 to 120 degrees. Resident bedrooms and common areas were inspected and contained sufficient furniture and lighting. The exterior grounds were reviewed. There was an in-ground pool on the grounds surrounded by a locked perimeter fence. There was a decorative housing for the hose. There were no other outbuildings or structures on the exterior grounds. Policies and procedures for medication management were discussed with the designated facility Administrator. Resident medications and medication administration records were reviewed and found to be in compliance at this time. The staff lounge was also reviewed by the LPAs. It was learned that this facility employed live-in caregivers at this time. The following forms and documents were requested to be updated and submitted into CCL for review by this LPA: LIC 308 LIC 400 LIC 500 LIC 610 The following deficiencies were observed and cited on the following LIC 809-D pursuant to Title 22 Rules and Regulations, Health and Safety Code. A civil penalty in the amount of $500 was issued at the time of this annual visit on the following LIC 421IM (7/17). The appeal rights were printed and a copy was left with the facility designated Administrator at this time. Exit Interview