Routine inspection·May 26, 2023

Licensing Program Analyst (LPA) Zabel Chochian arrived to this facility today to conduct a required annual visit. Upon arrival LPA met with staff who contacted Administrator Maria Mendez. Reason for visit was explained. Administrator arrived to the facility at approximately 10:30am. The LPA and Ms. Mendez toured the physical plant areas inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. BEDROOMS: The LPA observed two double-occupancy and two single-occupancy resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. RESTROOMS: Restrooms observed clean and sanitary and in operating condition. Hot water temperature is maintained within required range. KITCHEN: Knives were stored in a locked drawer and cleaning supplies were stored a locked cabinet under the sink. Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food. COMMON SPACES: At the time of the visit, living room and dining room furniture was observed to be in good condition. The LPA observed the required postings throughout the facility. The carbon monoxide and smoke alarms were tested and all functioned properly. The fire extinguishers appeared fully charged and was last inspected in 07/2022. The backyard patio is equipped with furniture for residents' use. RECORDS: Resident records review began at 11:30am.: resident records were reviewed for, but not limited to: appraisals, medical records, admissions agreement, consent forms. All records were in order. Staff records review began at 12pm and were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, and first aid/CPR training. Additional required training records reviewed at approximately 12:30pm. The following was noted: staff #1 did not have record of four hours of training, which shall be specific to postural supports, restricted health conditions, and hospice care. Trainer information not recorded; training time not recorded. Disaster Preparedness - Emergency and Disaster Plan reviewed at approximately 1:30pm. Plan was completed however not reviewed since 2020. (cont. LIC809c) MEDICATIONS: Medications, records, and procedures reviewed at approximately 2pm.; medications are centrally stored and locked in a cabinet in the living room; medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record. Pursuant to Title 22 Division 6 of the CA Code of Regulations, deficiencies were cited (refer to LIC 809-D). Exit Interview Conducted / Appeal Rights Discussed / A Copy of the Report Issued.