Routine inspection (multi-day)·July 11, 2023

This report is an amendment of the original document in order to correct a misspelling of the Executive Director's name and correct an inaccuracy in the number of care staff files reviewed. Licensing Program Analyst (LPA) Kelly Dulek arrived unannounced to conduct an annual continuation visit. The LPA met with Executive Director (ED) Gena Grundeis and informed ED of the reason for the visit. Entrance interview conducted. Infection Control: LPA reviewed the facility's infection control policies and procedures with Executive Director and Health and Wellness Director. The facility's infection control policies are adequate. Medication Review: Beginning at 01:47PM, the LPA along with Health and Wellness Director reviewed medications for 5 (five) residents. All 5 residents' medications reviewed were documented and stored in compliance with regulation. Staff File Review : Beginning at 02:25PM, the LPA reviewed files for 5 (five) staff. The files were reviewed for documents including but not limited to: fingerprint background clearance, health screening, TB test, and training. Staff files for 2 (two) staff who assist with Activities of Daily Living do not have first aid training. The following deficiency was 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. A copy of the report and appeal rights were provided.