Routine inspection (multi-day)·October 31, 2023

LPA Jensen arrived at facility unannounced to continue an annual inspection that was commenced on 10/17/23. LPA Jensen met with care provider Marilou Oliver and explained the purpose of today's visit. On 10/17/23 LPA Jensen toured the grounds and interior physical plant. LPA Jensen observed a swimming pool in the backyard that was locked and inaccessible to residents in care. There was outdoor seating available for client activities. LPA Jensen observed 4 torn window screens in the backyard. The outdoor grounds appeared to be maintained and outdoor paths were clear of obstruction. LPA Jensen toured the facility kitchen. A 2 day supply of perishable food and a 7 day supply of non-perishable food was on hand. LPA Jensen did a random sampling of canned goods and observed 5 expired canned food products, rotting parsley in the refrigerator, salad that expired on 10/8/23, food in storage containers that was not labeled and several items with freezer burn. LPA Jensen toured the resident bedrooms and observed all required furniture present. The facility uses waterproof mattress covers on the beds. The facility maintains an adequate supply of linens and hygiene products. LPA Jensen observed the Resident 1 (R1) to be in bed. The bed is adjacent to the wall on one side and blocked on the other side by a chair, walker and portable commode in such a manner that R1's ability to get out of bed would be restricted. LPA Jensen attempted to conduct a random medication audit for Resident 2 (R2) but was unable as the facility does not maintain centrally stored medication and destruction records. LPA Jensen reviewed 3 of 3 resident files. 3 of 3 resident admission agreements state that an increase in the monthly rate charged may be initiated after 30 days of notice. 1 of 3 resident admission agreements states that there are no refunds provided. LPA Jensen reviewed the first aid kit and found it to be complete and in compliance. The carbon monoxide detector, smoke detector and fire extinguisher were determined to be in compliance. The facility maintains an adequate emergency supply of food and water. There is emergency lighting available. The facility conducts regular fire drills and is in compliance. The thermostat was set at 68 degrees which falls within the required range of 68-85 degrees Fahrenheit. The water temperature was measured in the bathroom in the main hall All required postings were observed to be easily viewable. Deficiencies are being cited from 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, the LIC 811 and appeal rights were provided.