Redwood Terrace.

Licensing Program Analyst (LPA) Kathleen Banrasavong conducted an unannounced case management visit to the facility. LPA met with Administrator, Lisa Alhambra, LPA explained the nature of the visit and was granted entry into the facility. The purpose of this visit is to conduct a verification visit at the facility to ensure that the individual has been removed. The purpose of today's visit is to conduct a follow up visit for an Immediate Exclusion letter for staff 1 (S1). S1 was not present during today’s visit. LPA was informed by Administrator, Lisa Alhambra that S1 was termed on 08/01/2024 and has not worked at the facility since 08/01/2024. LPA requested and obtained S1's termination paperwork. LPA conducted a tour of the facility. There was no health and safety concerns at this time. Based on evidence obtained during today's visit, the LPA has verified the individual is not present, employed or residing at the facility. LPA has advised the licensee to disassociate the individual from their roster and submit an updated LIC 500. No deficiencies were cited during this visit. An exit interview was conducted where this report, an 811 was provided and discussed and provided to the Administrator, Lisa Alhambra.

Licensing Program Analyst (LPA) Kathleen Banrasavong arrived unannounced to conduct an annual inspection. Upon arrival LPA was greeted by facility staff and granted entry. LPA began inspection with introduction and visit purpose. Upon arrival LPA learned that one hundred and fifty-three (153) residents live at this facility. The Executive Director, Michael Kevorkian and Administrator, Lisa Alhambra was advised of the annual and conducted and completed the facility tour. Client Records/Incident Reports/Clients Rights Information: LPA reviewed client records. Five (5) records were reviewed. LPA reviewed for identification and emergency information, admission agreement, medical assessment, and TB test results, needs and service plans, placement, functional assessment, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification. Personnel Records/Training/ Staffing/ Administration : LPA reviewed employee records. Five (5) records were reviewed. LPA reviewed employee records for first aid certification, criminal record clearance or an exemption, health screening and TB test results, employee rights, training verification, and current administrative organization. Brittany Eargle, Administrator’s certificate expiration date was 10/15/2024. The Administrator met all training hour requirements. Food Service: Food prep areas are clean and organized. Food supply meets the requirement of one (1) week supply of nonperishable and two (2) day supply of perishables. Emergency food and water supply is present. There is a location for sharps in the kitchen. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Physical Plant and Safety of Environment/Operational Requirements: LPA toured the facility inside and outside. LPA observed the facility to be clean and in good repair. The facility is maintained at 77 degrees for the client’s comfort. Lighting is sufficient for safety. Water temperature measured 108.0 degrees F. Laundry is done in the designated laundry room for communal usage. There are some resident’s who have a laundry unit in their apartment as well. There is a locked location for storing laundry soap, cleaning supplies and chemicals in the closet in the Utility Room. All outdoor and indoor passageways are free of obstruction. Emergency lighting is available. There is a telephone working at this location. LPA dialed the facility’s landline number, which rang and was operable. The LIC 610, emergency disaster plan is maintained. There are no firearms at this facility. There are zero (0) fireplaces at this facility. There is one (1) secured and enclosed pool at the facility. LPA observed emergency supplies and each medication room has a first aid kit and required components. Infection Control: The LPA observed the hand washing stations in the facility restrooms and kitchen had hand hygiene supplies and hand washing signs. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's infection control plan which met department requirements. LPA reviewed staff records and found that all staff had infection control training. Medications/Health Related Services/Incidental Medical Services: The medications are centrally stored. There is a locked cabinet allocated for medication storage. Centrally stored medication and destruction logs are maintained separately. LPA reviewed medication logs and observed that they were dispensed accurately. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 LPA made observation throughout the inspection process to assess if the facility remains in conformity with the State Fire Marshall regulations. LPA observed smoke detectors and carbon monoxide detectors throughout the facility. The last fire alarm testing was conducted on 06/12/2024. There were eighty-five (85) fire extinguishers on site, date charged was 09/11/2023. Pursuant to Title 22 of The California Code of Regulations Division 6, there are zero (0) deficiencies observed. An exit interview was conducted, this LIC 809 was reviewed with, and a copy of this report was provided to Executive Director, Michael Kevorkian.

On 08/23/23 at 12:12 p.m. Licensing Program Analyst (LPA) Cheryl Goodrich arrived to conduct an unannounced annual visit. LPA met with the Director of Wellness & Assisted Living, Brittany Eargle. The purpose of today’s visit is to inspect the facility to ensure that the facility is following California Code of Regulations, Title 22, Division 6. Facility is approved for two hundred and ten residents. The facility currently has 12 memory care residents, 41 assisted living residents and 103 independent living residents. Infection Control: The facility has an approved infection control plan and a surplus of supplies for infection control including but not limited to mask, gloves, gowns, first aid kit, cleaning supplies, protective eye equipment and cleaning supplies. Physical Plant and Environmental Safety : There are a total of 156 resident bedrooms with bathrooms, studio apartments with kitchenettes, a master kitchen, seating areas, office areas, outside seating areas with furniture for residents and staff, and a transportation vehicle. All rooms, seating areas, office areas, kitchen and dinning room areas are all clean and clear of obstruction. The resident bedrooms were clean and clear from obstruction. The resident’s rooms were complete and clean linens and bedding, a television, dresser, and closet space. The facility is equipped with fire extinguisher, carbon mosnoxide and smoke detectors and sprinkler system. Operational Requirements: The facility was staffed with 5 caregivers and other operational support staff . The facility meets the operational requirements for an has a RCFE-Continuing Care Retirement Community is current with fire clearance for the facility. The facility is equipped with a backup generator for the facility and memory care has it’s own backup generator. (Continued on LIC809-C) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 (Continued from LIC809) Personnel Records-Training: All have fingerprint clearances, current CPR/First Aid certification, Health screen and TB tests completed. All staff complete monthly in-service training and fire-drills and disaster training and job title specific online training. Client Records-Incident Reports: The resident records are complete with pre-assessments, physician reports, admissions agreements, physician reports and orders, medication log, daily logs of the resident’s health condition, and additional medical assessments. Client Rights-Information: The residents rights documentation is present. The resident records also contain needs assessment information for each resident. Food Service: 7-day non-perishable and 2 day of perishable food supply was observed, and all food was properly stored and available to residents. Health- Related Services: The caregivers at the facility are dispensing medications within the guidelines of the physician’s order and the regulations. The facility is documenting the date and time of the dispensing of medication for each resident. Disaster Preparedness: The facility has a disaster plan and has posted the evacuation plan, visible for staff and residents in care. The last fire drill was completed 07/17/23. The facility has emergency supply of food and water. Summary: Based on today's visit, no deficiencies were observed at this time. An exit interview was conducted with Director of Wellness & Assisted Living, Brittany Eargle and a copy of this report was printed Signature below confirms receipt of these rights.