Routine inspection·June 4, 2021

Licensing Program Analyst (LPA) Arlene Garcia and (LPA) Albert Johnson conducted an unannounced annual / Infection Control visit on this date. LPAs were met by Tammy Hughes, Caregiver. LPAs met with Administrator, Maria Andrade. LPA Arlene Garcia has completed a full file review. Mitigation Plan has been submitted and approved. LPAs and administrator inspected physical plant including but not limited to the main kitchen, residents bedrooms and bathrooms, medications rooms and dining room areas. LPAs observed sufficient seven days non-perishable and two days perishable food supplies in the main kitchen. Hot water temperature was measured in 1 residents bathroom with the Administrator, resident bathroom measured at 115.3 degrees which is in the required range of 105 to 120 degrees. Facility temperature measure 78 degrees. LPAs and Administrator observed centrally stored medications. LPAs reviewed and compared resident medication vs. resident medication logs. LPAs found no documentation for PRNS for all residents, 2 medications found were expired, and 1 medication found was not in original packaging. 809-C Continued>>>>>>>>>>>>>>>>>> 809 Cont. >>>>>>>>>>>>>>>>>>>>>>>> Fire Drill has not been conducted since beginning of COVID, 2020. Administrator stated they have not kept a Fire Drill log in past. LPAs observed addition to the facility that was not on the original facility sketch submitted at application process. LPAs completed an audit of P&I. LPAs observed the residents funds were accurate , however, the resident funds were commingled with facility funds. LPAs reviewed 5 resident files and 3 staff files. LPAs requesting updated Facility Sketch and Fire Clearance to be submitted to office. 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 held with administrator and a copy of report given at the conclusion of the visit via email.