Routine inspection·October 26, 2023

Licensing Program Analyst (LPA) Elsie Campos arrived at the facility unannounced to conduct a required annual visit at 12:40 p.m. The LPA was greeted by the Administrator Diorena Rock and informed them of the reason for the visit. The 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/BATHROOMS: Beginning at 1:00 p.m. the LPA inspected the bedroom and bathroom areas. Bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There are six designated client rooms and one staff room. Medications are located in a locked cabinet in the kitchen. The three client restrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. At 1:04 p.m. the LPA observed accessible clorox wipes in resident room #1. The bathrooms were sufficiently stocked with soap and paper towels. The hot water temperature measured at 110.4 degrees Fahrenheit in the hallway bathroom. KITCHEN: The LPA toured the kitchen/food service area. Knives and additional cleaning supplies are stored inaccesible and locked in the garage. At, 1:38 p.m. the LPA observed unlocked refrigerated medications in the kitchen refrigerator. At 1:46 p.m. the LPA observed a variety of expired foods ranging from canned sliced mangoes expired 1/20/23, expired vegetables, expired mayonnaise dated 5/3/23, expired imitation crab dated 9/9/23, expired sour cream dated 10/9/23, expired teriyaki sauce dated 12/11/22, moldy Brie and Swiss cheese, expired phyloo dough dated 3/6/21, expired prosciutto dated 9/16/23, expired pickles dated 9/29/22, expired roast pork dated 6/14/23, expired milk dated 10/8/23 and 10/23/23, expired romaine lettuce and expired egg whites dated 8/16/22. Kitchen appliances were in operable condition. Despite the expired foods observed the facility had a sufficient supply of perishable and non-perishable food at the time of visit. **Continued LIC 9099-C** COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. There is a fireplace in the living room, which is screened and inaccessible. The facility maintained a comfortable temperature of 73 degrees. Smoke detector(s) and carbon monoxide detector were tested at 2:15 p.m. and operational at the time of the visit. There are two fire extinguishers which were fully charged and last serviced on February 16, 2023. The LPA did not observe all required postings as facility sketch, emergency disaster plan and resident rights were not posted however Administrator was in possession of the required postings and advised the they will put them up. OUTDOOR AREA: The backyard has a covered outdoor area equipped with furniture for client use. There is a side gate for client use that is single latched. There is a gated pool which is inaccessible to residents in care. Exits are free of obstructions. The garage is where the washer and dryer are held, including additional refrigerator with perishable food items. Emergency food and water are kept in the garage. Due to time constraints, the LPA will return at a later date to complete the inspection. The LPA obtained the following documents: - LIC500 Personnel Report - LIC9020 Client Roster - Liability Insurance 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.