Routine inspection·February 1, 2024

On 2/1/24 Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced visit to conduct a required 1 year annual inspection. LPA Jensen met with Licensee Leilani Ramiro and explained the purpose of today's visit. LPA Jensen toured the facility grounds. All paths were observed to be free of obstruction. The grounds were well maintained. There are shaded areas and patio furniture for outdoor activities. All screens were observed to be in good repair. There is a swimming pool on site that is surrounded by a fence that is regulation height. At the time of this inspection the fence surrounding the swimming pool was observed to be locked. LPA Jensen toured the physical plant and observed it to be sanitary and free of odor. All required postings were observed. There was adequate lighting and furnishings throughout. The facility maintains an adequate linen supply. The bathrooms are equipped with grab bars and non-slip mats in the showers. The bathroom water temperature was measured at 109 degrees Fahrenheit which falls within the required range of 105-120 degrees Fahrenheit. The thermostat was set 79 degrees which falls within the required range of 68-85 degrees Fahrenheit. LPA Jensen inspected the kitchen and observed a 2 day supply of perishable food and a 7 day supply of non-perishable food. Knives were observed to be locked and inaccessible to residents in care. All cleaning supplies and medications were locked and inaccessible to residents in care. The fire extinguisher was last serviced in January of 2024 and is in compliance. The carbon monoxide detector and smoke detector were observed to be in good working order. The facility conducts and logs regularly scheduled fire drills. There is emergency lighting and food available. The first aid kit was observed to be complete and in compliance. The Emergency Disaster Plan was reviewed and is current and in compliance. Continued on LIC 809C... LPA Jensen interviewed 3 of 6 clients and all were satisfied with every aspect of their care. LPA Jensen reviewed 4 staff files and observed staff 4 (S4) to lack finger print clearance. A deficiency is being cited and a civil penalty assessed for lack of criminal background clearance. LPA Jensen reviewed 3 of 6 client files and observed 3 of 3 files to lack Needs and Service Plans and contain Physician Reports that were in excess of a year old. Technical assistance is being provided in multiple areas on documentation required for resident files. LPA Jensen reviewed the Liability insurance and determined it to be current and in compliance. LPA Jensen reviewed the LIC 308 and it is in compliance. The inspection tool was used during the course of this visit. Deficiencies are being cited pursuant to the California Code of Regulations (CCR) Title 22, Division 6. Civil Penalties are also being assessed. An exit interview was conducted and a copy of this report and appeal rights were provided.