Routine inspection·August 10, 2023

On 08/10/2023 unannounced annual inspection was made to this facility by Licensing Program Analyst (LPA) Kimberly Viarella. The LPA identified herself and the purpose of the visit and asked to speak to the Designated Facility Administrator. LPA met Jacqueline Hernandez, (Certification # 6058692740, expired 02/11/2023 and provided proof of recertification) the Designated Facility Administrator and a brief interview followed. The tour began with resident accommodations. Rooms were clean and had adequate furniture and lighting. Each room had a private bathroom where grab bars and non-skid shower surfaces were observed. LPA observed toxins and personal hygiene items that were not approved of in the resident’s LIC 602. Staff immediately removed these items. The kitchen was inaccessible to residents and the LPA observed 7 days of non-perishable and 2 days of perishable food supplies. Upon inspecting the pantry, the LPA observed items that were opened, not dated and/or expired. The LPA also observed expired items in the reach-in refrigerator. The Designated Facility Administrator immediately disposed of the items. LPA observed smoke and carbon monoxide detectors throughout the facility and fire extinguishers were last inspected in 04/18/2023 by Jorgenson Co. The hot water temperature was measured at 107.6 degrees Fahrenheit and was in compliance. The LPA toured the medication room which was locked and kept inaccessible to residents in care. Policies and procedures were discussed and the EMAR system and logs were reviewed. Medications, including narcotics were kept in a locked cart and distributed to residents on an individual basis as directed by their physicians. Primary pharmacy was Premier, which does not offer audits as part of their service, but audits were conducted monthly and quarterly by internal staff. First Aid kit was also reviewed to ensure compliance. LPA observed residents participating in activities in both the Assisted Living and Memory Care areas. Assisted Living conducted painting classes outdoors as well as Bingo inside after lunch. In Memory Care, the LPA witnessed Caregivers playing card games and board games. The schedule of activities were displayed on a monitor as well as provided in print for residents in care. LPA inspected the exterior of the facility including locked outbuildings that contained maintenance equipment and holiday decorations. There were no bodies of water present. All residents had access to covered outdoor spaces, with Memory Care being completely enclosed for safety purposes. LPA completed a file review of 9 resident files, all were complete and contained the required information. LPA also reviewed 5 employee files and they too were in compliance at this time. According to the California Code of Regulations, Title 22, the following deficiencies were observed and cited on the LIC 809 D page. A copy of this report was provided to the Designated Facility Administrator along with the Appeal Rights. Exit interview.