Routine inspection·October 19, 2022

Unannounced annual visit made out to this facility on 10/19/2022 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility staff person, Gabriela Chicas, who was reuquested by this LPA to go ahead and contact the facility designated Administrator Bonaire Yepez to inform her that CCL was present at this time. The facility designated Administrator arrived later on to this facility while this LPA was conducting the annual visit and was briefly interviewed. This facility is licensed to accept and retain up to 6 residents at any given time. Current census was 4 residents. Tour of this facility was conducted. It was learned that this facility is cleared to accept and retain up to (6) residents under hospice care. It was learned that there were (4) residents under hospice care at this time. A tour of the facility resident rooms was conducted. Resident furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. Resident restrooms were toured and observed to be able to meet the needs of the residents at this time. Hot water temperatures were taken and measured to make sure that they were within the allowed range of 105-120 degrees at this time. Kitchen area was toured. Medication cabinets were observed to be present in the hallway area. Policies and procedures were discussed with facility staff in terms of dispensing, documenting, and overall administration of resident medications. First aid kits were observed to be present and contained all of the necessary components at this time. Policies and procedures were discussed in relation to narcotics and medications that required a separate count and documentation by incoming staff and outgoing staff. A review was conducted in regards to this documentation of the resident narcotics. Living area, dining area, and all other areas intended for resident use were toured and observed to be in compliance at this time. Fire extinguisher, located in the living area, was observed to have been annually inspected by the local fire extinguisher company, Jorgensen & Co, at this time. Laundry area was toured. Chemicals, detergents, and bleaches were observed to be locked and made inaccessible to the residents at this time. A review of the food supply was conducted to make sure that there was a sufficient amount of 2-day perishable and 7-day nonperishable quantities at all times. Exterior grounds of this facility were toured. A review of the facility perimeter fence, side gate, and exits was conducted. The following forms and documents were requested to be updated and submitted into CCL: 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. The appeal rights were printed and a copy was given to the facility designated staff person at this time. Exit Interview