Routine inspection·May 3, 2024

Licensing Program Analysts (LPA) Zabel Chochian arrived at the facility today to conduct a required annual visit. The LPA was greeted by staff and informed them of the reason for the visit. Administrator Erlinda Gonzales arrived shortly thereafter. At approximately 11:00am, LPA and the Administrator 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. BEDROOMS: Bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There are five designated client rooms. RESTROOMS: The three resident restrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with soap and paper towels. The hot water temperature measured in the hallway restroom at 105 degrees Fahrenheit. COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. The facility maintained a comfortable temperature of 78 degrees. Smoke detector(s) and carbon monoxide detector were tested at approximately 11:45pm. and operational at the time of the visit. The one (1) fire extinguisher was fully charged and was last serviced 12/01/2023. Required postings observed throughout the common space area. KITCHEN: The LPA conducted an inspection of the kitchen. Knives and cleaning supplies observed stored inaccessible. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. OUTDOOR AREA: The backyard has a covered outdoor area equipped with furniture for residents use. There is a side gate for client use and is single latched. No bodies of water noted. The garage is where the washer and dryer are held, including additional freezer with perishable food items. Cleaning supplies and disinfectants are kept in locked in the garage. RECORDS: Residents’ records review began at 12p.m., records were reviewed for, but not limited to care plans, medical records, admissions agreement, consent forms. Hospice care plans and required records for two (2) resident receiving hospice services are not kept at the facility. (Continue to LIC809c). Personnel records review began at 1pm, records were reviewed for, but not limited to health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. Current staff were missing record of required 20hrs required training and medication training. LPA requested Mrs. Gonzales submit the following documents: - Current copy of the LIC500 Personnel Report - Copy of the Liability insurance. MEDICATIONS: Medications review began at 2:00 p.m.; medications are centrally stored and locked in a closet at the entrance of the facility. Medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record. PRN authorization letter was not obtained/on record for Resident #6 who is currently on PRN medication. Mrs. Gonzales obtained the letter during today's visit and acknowledged understanding the procedures to follow when assisting residents with PRN medications. Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D). Exit interview conducted. Appeal Rights Discussed. A copy of the report was provided .