Food Service: More than seven (7) days’ supply of non-perishable foods and more than two (2) days’ supply of perishable food supply were observed and sufficient for the number of residents in care.

Care & Supervision: The facility has an Administrator present at the facility with appropriate and enough hours to appropriately manage the facility. The facility has sufficient number of staff to provide care and supervision to the residents in care. LPA Brown noted that the facility has a staff scheduled to work at night, awake and on duty as required for facility with dementia residents.

Record Review: LPA Brown noted that the facility has an updated Infection Control Plan, Emergency Disaster Plan and updated Liability Insurance. LPA Brown reviewed four (4) resident files for admission agreements, updated physician reports, pre-placement appraisals, centrally stored medication list/physician orders and needs and services plans. LPA Brown observed resident files reviewed were complete. In addition, LPA Brown noted that Resident #2 (R2) and Resident #3 (R3) half bed rail have written orders from their physician indicating the need for half bed rail for mobility. LPA Brown reviewed three (3) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings with tuberculosis (TB) test result. LPA Brown observed that staff files reviewed were complete.

During medication audit, LPA Brown observed that staffs at the facility did not assist Resident #2 (R2) with R2's one (1) self administered medication. Deficiency will be issued.

Based on the observations made during today’s visit, one (1) deficiency was cited per Title 22, Division 6, Chapter 8 of the California Code of Regulations (CCR).

An exit interview was conducted, and this report (LIC809), LIC809D, and Appeal Rights were discussed and provided to Licensee/Administrator William Farris.