At approximately 8:45AM, LPA toured the facility to ensure the health and safety of residents in care. The facility was observed to be at a comfortable temperature. Areas toured include but are not limited to resident rooms, common areas, bathrooms, kitchen, storage areas and back yard. In the areas toured no immediate health, safety, or personal rights violations were observed. Fire extinguishers were fully charged. Smoke detectors are all operational. Carbon Monoxide Detector was present. The common areas, bathrooms and kitchen were clean and in good repair. All bedrooms had required furniture, bedding, and lighting. The kitchen contained cooking/dining equipment that was clean and orderly, utensils were present. Food appears to be stored and prepared properly. Refrigerators and freezers were maintained at the proper temperature. Facility has required seven-day non-perishable and two-day perishable supply of food. Facility does not have a generator to supply power in an emergency. Emergency lighting devices were present.

At approximately 9:20AM, LPA conducted a review of medications. Medication is locked and not accessible. First aid kit was present. All employees requiring background checks are cleared. No pools/bodies of water are on the premises. Licensee did not have documentation of completed emergency drills.

At approximately 9:30AM, LPA reviewed 6 of 6 resident files. All resident files contained the required documentation. Reappraisals were conducted within the last 12 months. Documentation of a physician visit was present in each file.

Continued on LIC809-C...

Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit:

Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.