Facility Evaluation Report

On 11/13/2024, Licensing Program Analyst (LPA) K. Kaur arrived unannounced at the above facility to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility by Administrator Vanessa Garduno.

The facility was observed to be at a comfortable temperature, clean, in good repair, with no passageway obstructions or fire hazards. Facility has 2 levels with a storage room and common areas downstairs; Staff and residents bedrooms upstairs. LPA and Administrator began the tour in the backyard. LPA observed sufficient seating under covered patio area in the back of the facility. Pool was observed gated and locked. Living room and facility kitchen toured. LPA observed a 7-day supply of non-perishable foods and a 2-day supply of perishable foods. Closet under stairs was observed to be locked with sharps, medications and files. Tour continued to the den which has sufficient seating. Den has a locked closet that was observed to have chemicals. Fire extinguisher in dining area was last serviced on 12/14/2023 and was fully charged. Carbon monoxide and smoke alarm detectors installed and operational. LPA toured 4 single occupancy rooms and one shared bedroom which were observed to be furnished with required furniture and adequate lighting. LPA viewed live in staff bedroom. Linen supply is kept in the hallway cabinets upstairs next to laundry room. Additional cleaning and chemicals observed locked in laundry room. Last fire drill was conducted on 11/7/2024. LPA reviewed resident’s medication with the MARs and centrally stored list. Resident's records contained signed Admission Agreement, Personal Rights, and current Physician's Report. LPA observed 1 out of 6 residents had the incorrect medical assessment form. Staff files were reviewed for good health. Staff files had First Aid training.

Deficiency is being cited on the attached 809D in accordance with California Code of Regulations, Title 22,