Routine inspection·September 22, 2023

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced for a required one-year annual inspection today at 2:15 p.m. The last annual conducted at this facility was on 09/01/2022. Upon arrival, the LPA met with Administrator, Iris Kranlingen and the reason for the visit was explained. There were three staff and five residents present. Entrance interview conducted. The LPAs toured 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 2:23 p.m. Kitchen appliances appeared clean and were in operable condition at the time of the visit. The facility has a sufficient supply of perishable and non-perishable food. Food labels were inspected and checked for dates and expiration dates and food labels had expiration date clearly marked. The LPA observed the knives and sharps stored in a locked drawer. Cleaning supplies and disinfectants are stored under the kitchen sink inaccessible to residents. At 2:27 p.m., the hot water temperature was measured in the kitchen at 116.2 degrees Fahrenheit. COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. The LPA observed two residents watching television in the living room. The facility maintained a comfortable temperature. Smoke detector(s) and carbon monoxide detector were tested and operational at the time of the visit. The fire extinguishers were fully charged and were last serviced 3/16/2023. The LPAs observed required postings throughout the common space. All doors were observed with functioning auditory alarms at the time of the visit. (Report Continued on LIC 809C...) (Report Continued from LIC 809...) GARAGE/BACKYARD: There is a separate laundry room, which is kept locked. The garage is accessible through the laundry room. There was emergency food and water in the garage which was observed to be in good condition. Cleaning supplies and toxins were observed locked and inaccessible to residents in care. The facility has at least a 30-day supply of Personal Protection Equipment (PPE). The backyard has a covered outdoor area equipped with furniture for resident use. The property is completely fenced with a self-latching mechanism. There is a completely fenced swimming pool, which is kept locked and inaccessible to residents. BEDROOMS: There are three (3) resident bedroom. The LPA observed the resident bedrooms to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. There is a staff room on premises. There was a linen cabinet in the hallway with extra towels and linens. RESTROOMS: The two resident restrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with supplies and paper towels; towels and washcloths are not shared. The hot water temperature was measured in both bathroom; the first bathroom measured at 115.7 degrees Fahrenheit at 2:31 p.m.; and the second bathroom was measured at 115.5 degrees Fahrenheit at 2:33 p.m. At 2:31 p.m., the LPA observed the common hallway restroom to have accessible items to all residents which included toothpaste, mouthwash, lotion, shampoo, and conditioner. The Administrator had all personal hygiene items locked immediately. RECORDS: Records review began at 2:47 p.m.; five (5) resident records were reviewed for, but not limited to: appraisals, medical records, admissions agreement, consent forms. All records were in order. At 3:15 p.m., record review of Resident #1’s (R1’s) physician’s report (LIC 602A) dated 04/18/2023 and Resident’s #2 (R2’s) physician’s report dated 07/11/2023 revealed R1 and R2 are at risk if allowed direct access to personal grooming and hygiene items. Personnel records were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All files were in order. (Report Continued on LIC 809C...) (Report Continued from LIC 809C...) MEDICATIONS: Medications review began at 4:45 p.m.; medications are centrally stored and locked in a cabinet adjacent to the living room. Medications are labeled and checked for expiration dates. No errors observed during the medication review. The LPA conducted interviews with three staff members between 5:00 p.m. and 5:18 p.m. The following deficiencies were observed (See LIC 809-D) and cited from the California Code of Regulations, Title 22 and/or California Health and Safety Code. Failure to correct the deficiency may result in civil penalties. Exit interview conducted. The report was reviewed, and a copy of the appeal rights and report were provided.