Lake Murray Health Care Center

Type of visit: POC

Licensing Program Analyst (LPA) Jose De La Cruz conducted a Plan of Correction visit (POC) regarding the deficiency cited on 11/24/2025, which was corrected.the state’s words, verbatim · CDSS document, Nov 25, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jose De La Cruz made an unannounced visit to conduct a Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit with Licensee Lourdes Gonzales. The facility's license shows a maximum capacity of six (6) elderly residents, age 60 and above; all of whom may be non-ambulatory. Facility is approved for one hospice. LPA and Licensee toured the interior and exterior of the facility and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility contained at least 2 days of perishable food, and at least 7 days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. No toxic chemicals or poisons were accessible to clients. A knife was found in one of the drawers, which LPA requested to be stored in a locked space. LPA and licensee checked the medications storage. Medications were labeled, as required, and stored in locked areas. No pools or bodies of water exist on the premises. A fire place is on the premises with a protective mechanism. [CONTINUED ON LIC 809-C] [CONTINUED FROM LIC809] Per Licensee, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. Fire extinguisher was serviced within the last 12 months. Required licensing postings were observed in visible areas of the facility. Faucet temperatures and the following readings were measured in degrees Fahrenheit. Kitchen sink 108, bathroom 1 105, bathroom 2 106.7. LPA interviewed clients, and reviewed facility records. The files reviewed by LPA contained required documents. Confidential records were stored in locked areas. One deficiency was cited per California Code of Regulations, Title 22 (refer to the LIC809-D page). Plans of Correction were jointly developed with the Licensee. An exit interview was conducted with Licensee Lourdes Gonzales, to whom a copy of this report, the LIC 809-D pages, and the Licensee/Appeal Rights (LIC9058 03/22) were provided during today’s visit.the state’s words, verbatim · CDSS document, Nov 24, 2025

The state marks this report as 6 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Iby Strong and David Roman conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPAs were welcomed by, identified themselves to, and discussed the purpose of the visit with Caregiver Elisa Jones. Administrator David Gonzales. According to the facility’s license, the facility has a maximum capacity of six clients, of whom all may be non-ambulatory. LPAs toured the interior and exterior of the facility and inspected each room. The facility was sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. The outdoor trash bins did not have lids. Cooking/dining equipment and utensils were present. Medications were labeled, as required, but pre-poured. No pools or bodies of water on the premises. Per David, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were present. First aid kit(s) were complete and readily accessible. Resident records reviewed had required documentation, Resident 1 (R1) who is diagnosed with a major neurocognitive disorder does not have an updated physician report. Additionally, the auditory alarm on doors leading to the outdoors were not in working condition. Staff records reviewed contained required documentation. An exit interview was conducted with Administrator David Gonzales, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22), LIC 809-D and LIC 9201 were provided during the visit.the state’s words, verbatim · CDSS document, Nov 7, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Licensee Lourdes Gonzalez made an unannounced visit to the facility to conduct the required annual licensing inspection. LPA was met by Licensee Lourdes Gonzalez, identified herself, was granted entry into the facility, and stated the purpose of today’s visit, to inspect the facility to ensure that the facility is in compliance with California Code of Regulations, Title 22, Division 6. There were 6 residents and 3 staff present during today's visit. LPA Correia conducted a general overall inspection. The facility is licensed to serve 6 residents, age 50 and older, and all of whom may be non-ambulatory. The facility temperature was 74 degrees Fahrenheit at the time of the visit. The resident’s bathroom's hot water temperature measured 107.4 degrees Fahrenheit. Disinfectants, cleaning solutions, and poisons were inaccessible to residents. All residents’ rooms were equipped with the required furnishings. Residents’ bathrooms were observed to be sanitary and equipped with the required supplies. Showers had nonskid flooring and grab bars. Lighting was maintained in hallways and passages to residents’ bathrooms. Licensee Gonzalez provided each resident with clean linen in good repair, and sufficient hygiene products for personal use. LPA Correia observed smoke alarms, and carbon monoxide detectors throughout the facility that were in operable condition. Per Licensee Gonzalez there are no weapons and/or ammunition housed in the facility, nor does the facility have any bodies of water on the premises. The facility is stocked with a 2-day supply of perishable and 7-day supply of nonperishable food items. The food was observed properly stored. Medications are stored in a locked cabinet and administered according to the label instructions. The facility's last disaster drill was conducted on August 8, 2023. Per staff records reviewed, individuals subject to a criminal record review obtained clearance and/or an exemption; staff responsible for direct care and supervision have current First Aid and CPR training. Administrator Certification is current. Based on today's visit, there were no deficiencies observed at this time in the areas evaluated. An exit interview was conducted with Licensee Gonzalez and will be provided with a copy of this report and licensee/appeal rights (LIC 9058 01/16), and their signature on this form acknowledges receipt of these documents.the state’s words, verbatim · CDSS document, Nov 30, 2023