Routine inspection·January 6, 2025

On 01/06/2024, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct an annual visit. LPA was greeted by Marsha Spencer and explained the purpose of the visit. LPA entered the facility and found that there was a power outage at this facility at this time. It was stated that that the local electrical company had turned off the electricity due to payment issues. LPA conducted a health and safety check of all residents and found that all residents were either sleeping or sitting in the designated resident areas. LPA continued the visit and reviewed facility records. LPA reviewed 5 resident files and 3 staff files. It was observed that 3 out 5 resident files did not have an updated needs and services plan. 3 staff files were observed to not have updated dementia training within the last year. The administrator has an expired administrator certificate but this LPA was able to confirm that the administrator certificate was sent prior to expiration on 08/10/2023. At 11:47am, the facility power was turned back on. LPA conducted a tour of the facility. Smoke detectors and carbon monoxide were observed to be in working condition. Fire extinguisher was serviced on 08/21/2024 by the local fire company Jorgenson Co. The kitchen area was toured. LPA observed a non-perishable and perishable foods in the cabinets and refrigerator. Additional perishable food supplies were identified in the garage. LPA observed a locked centralized stored medication cabinet located in the kitchen. Along with the administrator, the LPA observed, reviewed, and compared resident medication and medication dispensing logs. First Aid Kit was present and contained all of the required components. A tour of the bathrooms was conducted. Hot water temperature was measured and observed to be within the required range of 105-120 degrees. A linen closet was located in the hallway and presented a sufficient amount of linens to adequately supply and meet the needs of the residents at this time. A tour of the bedrooms was conducted. Resident furniture was observed to be sufficient to meet their needs at this time. Laundry area was toured. Laundry detergent, bleach, and all other cleaning supplies were observed to be locked and made inaccessible to the residents at this time. Common areas were toured. Living room, dining area and all other areas intended for resident use were observed to be furnished and maintained in compliance at this time. A tour of the garage was conducted. Additional perishable food supplies were identified. LPA observed that the sliding glass door that leads to the backyard yard. LPA was unable to open the sliding glass door, upon inspection of the sliding glass door it was observed that the door was stopped by the a wood plank. The exterior of the physical plant was toured. Perimeter fence was observed to be stable and gates were in good repair. The following forms and documents were requested to be updated and submitted into CCL -LIC 308 -LIC 400 -LIC 500 -LIC 610 -Liability Insurance Per California Code of Regulations, Title 22 Division 6, Chapter 8, deficiencies are being cited today in violation of California Code of Regulations. Exit interview and a copy of this report was provided to this facility at the end of this visit.