Routine inspection·May 29, 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. Upon arrival LPA and the staff 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 six (6) designated resident rooms and one (1) staff room. RESTROOMS: The four (4) 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 tested in the restroom near resident rooms in the hallway and was observed to be within required range (105-120 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 11am. 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 with a single latch. 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 12pm., records were reviewed for, but not limited to care plans, medical records, admissions agreement, consent forms, and hospice records. (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 observed documented on the centrally stored medications and destruction record (no resident with any PRN medication at this time). 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 .