Health check·October 17, 2023

On 10/17/23 at approximately 10:15 am Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to conduct a quarterly visit and follow up on the progress and maintenance of previously discussed directives. LPA Jensen met with Nick Adamsson and explained the purpose of today's visit. On 10/12/22 an informal conference was held to discuss deficiencies in the areas of: Food service · Medications accessible to residents · Chemicals accessible to residents · Facility is not clean and in good repair · Swimming pool (empty) accessible to residents · Knives accessible to residents · Resident Personal Rights The facility agreed to do the following: - Lock all medications in a cabinet making them inaccessible to residents · Lock the pool making it inaccessible to residents · Keep chemicals in garage locked away · Combustible chemicals to be kept locked away near empty pool · Provide updated floor plan to include one storage room (store clutter) · Ensure the facility, and all resident bedrooms are clean and not full of clutter. The License agreed to engage in the Technical Support Program offered by the Department and a corresponding meeting on 5/11/23 during which the Licensee agreed to: - conduct Personal Rights Training every 6 months and upon new hire. -clean and organize the client/storage room prior to the next quarterly visit During the course of the visit LPA Jensen observed the following: -scissors accessible to residents in the night stand of the bedroom for resident 1(R2) -a nail gun, protractable knife and latex caulk in an unlocked closet -medication on the kitchen table not locked and accessible to residents -a gallon of bleach on the kitchen floor -numerous boxes of night time cold and flu medicine in a drawer under the TV stand for which there was no PRN -health related oral supplements for which there was no PRN -a case of Ensure in the bedroom of resident 2 (R2) -A hoyer lift blocking a fire exit in the bedroom of R1 -A clothes dresser and chair blocking a sliding glass door exit in the bedroom for R2 -A sign on a client bedroom that read STAFF which was removed when LPA Jensen brought this matter to the Licensee's attention -dead flies in the living room, hallway and bedroom of R2 LPA Jensen observed documentation showing personal rights training was conducted in June of 2023 and is therefore in compliance. LPA Jensen observed the outdoor pool to be locked and inaccessible to residents and therefore in compliance. Deficiencies are being cited from the California Code of Regulations (CCR) and/or the Health and Safety Code (HSC) Failure to correct deficiencies may result in the assessment of civil penalties and administrative action. An exit interview was conducted and a copy of this report, the LIC 811 and appeal rights were provided.