Routine inspection·June 19, 2023

Licensing Program Analyst (LPA) Elsie Campos arrived at the facility unannounced to conduct a required annual visit at 9:45 a.m. The LPA was greeted by staff and informed them of the reason for the visit. Administrator Inga Jakobovich was at the facility and met with the LPA. The LPA and the Administrator began the tour of the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. KITCHEN: The LPA began the inspection in the kitchen/food service area at 10:25 a.m. Knives and cleaning supplies are stored inaccessible. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. At 10:31 a.m., the LPA and Administrator observed expired/moldy lettuce heads inside a bin in the refrigerator. At 10:37 a.m. the LPA and Administrator observed a box containing multiple moldy tomatoes in the pantry and a can of expired prune juice with an expiration date of 12/8/2022 was also observed. All items were discarded by the administrator upon discovery. The Administrator indicated these items were delivered recently but would ensure all items are checked. It was additionally discussed with the administrator that if any taps in the industrial kitchen are delivering water temps above 125 degrees F to ensure that there is a warning sign indicating that sink delivers hot water above 125 degrees F. COMMON AREAS: Units designated for assisted living residents are on all three floors. There was hands-free hand sanitizer interspersed throughout the common grounds. The LPA toured all three floors and common spaces throughout the facility. Activity rooms and common spaces were clean and in good repair. No obstructions and/or tripping hazards observed. Fire extinguishers were last inspected on 11/17/2022. OUTDOOR AREA: The LPA toured the courtyard, where there was appropriate outdoor furniture, with a covered shaded area for residents. There is an area for residents to play games. Parking is available for residents and visitors. **Continued on LIC 809-C** BEDROOMS: Bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. LPAs observed a random selection of rooms on all floors. Bedroom 204 was observed to have visible water damage on the ceiling. LPA conducted water temperature checks between 11:10 a.m. through 11:53 a.m., and the hot water measured ranged between 118.9 degrees F to 125.4 degrees F. Restrooms were fully stocked with paper towels and soap. LPA observed a random selection of resident bathrooms on all floors. Due to time constraints, the LPA will return at a later date to complete the inspection. 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. A copy of the report and appeal rights were provided.