Routine inspection·February 10, 2023

Licensing Program Analyst (LPA) Elsie Campos arrived unannounced to conduct a required annual visit. The LPA met with Executive Director Brian Larios and informed them of the reason for the visit. The LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and community is in compliance with Title 22 Regulations. Kitchen: At the time of the visit, there was a sufficient supply of two-day perishable and seven-day nonperishable food. The menu was posted, and the facility offers daily specials and a standard selection at every meal. Appliances appeared to be in operable condition. Bin used to store sugar was broken allowing for potential contamination if left exposed. Common Areas: The facility is a three-story building. There are resident rooms on all three floors, units are designated for assisted living residents on all three floors and a separate unit on the second floor is designated for residents in the memory care unit. There is a central entry point for universal screening and temperature checks. Staff were observed wearing appropriate face coverings throughout the visit. There was hands-free hand sanitizer interspersed throughout the common grounds. There were no obstructions and/or tripping hazards observed. The facility maintains a comfortable temperature at 73 degrees Fahrenheit. The fire extinguishers were charged and last serviced 2/25/2023. Smoke detectors and carbon monoxide detectors are tested yearly and were operable at the time of the visit. At the time of the visit, a cabinet in the memory care food service kitchen was observed to be disrepair and the cabinet beneath the aquarium in the memory care unit was also observed to be in disrepair. Activities: Planned activities are offered, and the activity schedule was posted, and is provided to the residents on a weekly basis. Activity rooms and common spaces appeared clean and in good repair. ...Continued on LIC 809-C... Rooms: The LPA toured randomly selected rooms in both the memory care and assisted living unit. Rooms appeared clean, well kept, and appropriately furnished. Restrooms: Restrooms on all floors were clean and sanitary. Restrooms were fully stocked with supplies, and hand hygiene signs were observed in all restrooms. The LPA observed one room in the memory care unit that had a broken towel rack. The water temperature was tested on all floors and water temperature ranged from 117.8-119.8 degrees Fahrenheit. Outside areas: The LPA observed appropriate outdoor furniture, with a covered shaded area for residents. There was an enclosed patio for residents whom reside in the memory care unit on the second floor. File Review: The LPA conducted a file review of staff associations to the facility. The LPA identified one staff did not have their association appropriately transferred. The LPA informed the Executive Director. A civil penalty in the amount of $500 is assessed for this violation. Infection Control: The community has an adequate supply of Personal Protection Equipment (PPE) and can obtain additional supplies. The community's cleaning protocol is sufficient. This facility has records of staff and resident vaccinations. The facility has previously managed COVID-19 active cases and the facility complied with all requirements set forth by the local health department and licensing. Staff are up to date regarding guidelines pertaining screening recommendations, masking requirements of staff and visitors, and reporting procedures. The community's policies and procedures pertaining to infection control were adequate. The following deficiencies were observed (See LIC 809-D.) and cited from the California Code of Regulations, Title 22 and California Health and Safety Code. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. Civil penalties assessed. A copy of the report and appeal rights were provided.