Routine inspection·April 2, 2024

On 4/2/24 at approximately 10:20am Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to conduct a required 1 year annual inspection. LPA Jensen met with Administrator Paula Turpo and explained the purpose of today's visit. There are currently 5 residents. The facility is licensed for 6 non-ambulatory residents and has a hospice waiver for 5. The facility serves clients that require dementia care. LPA Jensen toured the interior and observed the facility to be sanitary and free of odor. There was adequate furnishings and lighting throughout. The bathrooms were equipped with grab bars and non-slip flooring in the bath or shower. There is a paper towel dispenser in the bathrooms to avoid the sharing of towels. The facility maintains an adequate supply of linen. The water temperature was measured at 105.1 degrees and is in compliance. The thermostat was set at 71 degrees which is within the required range of 68-85 degrees Fahrenheit. LPA Jensen toured the kitchen and observed a 2 day supply of perishable food and a 7 day supply of non-perishable food. LPA Jensen observed the facility sketch to accurately reflect the facility layout and room usage. Knives, medications and cleaning supplies are locked and inaccessible to residents in care. LPA Jensen observed the first aid kit to be complete. There is emergency lighting available. The emergency disaster plan is posted and in compliance. LPA Jensen observed all required postings to be prominently displayed. The fire extinguishers were newly purchased and in compliance. The smoke detector and carbon monoxide detector were tested and found to be in good working order. LPA Jensen toured the grounds and observed the grounds to be well maintained with all paths free of obstruction. There is outdoor furniture and and a shaded area available for resident outdoor activities. All window screens were observed to be in good repair. The facility was observed to have a back gate that is not self latching. LPA Jensen reviewed the liability insurance and determined it to be in compliance. A copy of the staff schedule was provided in lieu of the LIC 500. LPA Jensen interviewed 1 staff member and determined that that additional training on personal rights would be beneficial. Technical assistance was provided. LPA Jensen interviewed 2 residents who both stated they are satisfied with all aspects of their care. LPA Jensen reviewed 5 of 5 resident files and determined them to be compliant. LPA Jensen reviewed 5 of 5 staff files and observed 2 of 5 staff files to lack a health screening. Technical assistance was provided. Technical assistance was also provided with a recommendation to treat dietary supplements as a PRN and obtain physician's approval for use. LPA Jensen conducted a random audit of 1 medication and determined the pill count to be off by 1 with no record to account for the discrepancy. Deficiencies were cited pursuant to the California Code of Regulations (CCR) Title 22, Division 6. Failure to correct deficiencies may result in the assessment of civil penalties. An exit interview was conducted and a copy of this report was given to the Administrator.