Pre-licensing visit·November 21, 2023

On 11/21/2023, Licensing Program Analyst (LPA) Renee Campbell arrived unannounced to conduct a Pre-Licensing Visit. LPA met with applicant Nicole Ell, Administrator and Albert Ell, Vice President and explained the purpose of the visit. The purpose of this Pre-Licensing Visit is due to a change of ownership. Current census is 39 residents at this time. The facility has a fire clearance for 40 non-ambulatory and 16 bedridden residents. LPA observed the secure file room where staff and resident files are kept locked in a file cabinet. A tour of the facility was conducted. It was observed that a new resident in a shared bedroom did not have a chest of drawers yet but her family would be bringing one for her. The facility stated that they will provide a bed, night stand, chair, lighting and drawers if the resident is not able to provide it for themselves. A tour of the kitchen was conducted. LPA observed a sufficient amount of 2 day perishable and 7 day non-perishable food supply to meet the residents needs. Knives were observed to be locked and made inaccessible to the residents in care. The refrigerator had a temperature of 39 degrees Fahrenheit and the freezer -4.6 degree Fahrenheit. A tour of the pantry was conducted where the facility holds extra non-perishable food supplies. The facility regularly rotates out emergency food supplies to maintain freshness. LPA observed a locked centralized stored medication cabinet located in the Med Tech office near the front of the building. The MAR's log book and the locked narcotics box was observed as well. A First Aid Kit was present and contained all of the required components.  A fire extinguisher was located in the living room and was last serviced on 01/26/2023. Dining areas, living areas, and all other areas intended for resident use were toured.  It was observed that furniture and furnishings were sufficient and able to meet the needs of the residents at this time. An additional emergency food supply was observed in an outside shed. A tour of the laundry room was conducted, laundry detergent, bleach and all other cleaning supplies were  made inaccessible to the residents . Per the California Code of Regulations, Title 22, Division 6, Chapter 8, no deficiencies cited during visit. During today's visit Component III was done with Nicole Ell. An exit interview was conducted with the Administrator and a report left.