LPAs toured the facility along with the Administrator and made observations pertaining to the annual visit. LPAs inspected the facility inside and outside. There were no obstructions or debris to the indoor or outdoor passageways observed. Additionally, there were no bodies of water seen on the premises at the time of this visit. The facility is a single-story building located at 320 South San Jacinto Street in the city of Hemet.

Physical Plant: The new facility phone number is (951) 260-3501 and it is operable, and Administrator was advised to update the new number in the system. LPAs observed the residents’ bedrooms, and each were furnished as per Regulations and Title 22. LPAs inspected the facility bathrooms, and the hot water temperature tested within regulations. The bathrooms were clean, and appliances were operating appropriately. The facility is equipped with operating smoke detectors, carbon monoxide alarms, and fire extinguishers. LPAs observed required postings such as "If you See Something, Say Something,” the "Personal Rights," and the LTCO poster. The cleaning supplies and sharp items were locked and inaccessible to the residents in care presently. There were designated storage spaces for the residents’ and staff’s files, and it was locked and inaccessible to residents in care at present.

Continued on LIC809…

• Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

• Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

Medications: Were locked and inaccessible to residents in care, and there was a sufficient supply of medication for each resident. There were no documented errors observed on the centrally stored medication forms, and medications were stored in their original containers at the present. The facility has three (3) caregivers present.

Food Service& furniture: The non-perishable and perishable food supply is sufficient per regulations, and there are a variety of food types available for residents currently. Dishes and utensils were in sufficient supply and stored properly, and sharp items are locked. The overall facility is clean; the furniture is in good condition and arranged in a manner which provides space for residents to move safely. The facility cooling system and other appliances are operable at present. Licensee informed LPAs there were safety lights for night throughout the facility.

Care & Supervision/Administration: There were adequate staff present for the supervision of residents in care. The floor plans, telephone numbers and personal rights were found posted in the facility. The listed Administrator, Prescilla Brown a current administrator’s certificate with an expiration date of 7/24/2026, and it is posted in the facility.

Records Reviewed and Resident/Staff Files: LPAs reviewed the staff files and the facility's staff schedule. The staff files reviewed had the criminal clearances, updated training, along with current First Aid certifications. The resident files reviewed possessed the required paperwork as per Regulations at the present, including current TB tests.

Disaster preparedness: LPAs reviewed the facility's emergency and disaster plan as well as the disaster training binder. LPAs observed the last fire drill met the Department standards and was conducted as required per standards.

Infection Control: LPAs observed the hand-washing stations in the facility restrooms. LPAs observed cleaning supplies to conduct regular cleaning of the facility. LPAs reviewed the facility's infection control plan and found required infection control measures met the Department requirements.

An exit interview was conducted. A copy of this report was reviewed and given to Administrator, Prescilla Brown.