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 | On 06/20/2024, Licensing Program Analyst (LPA) Jaynae Boyles, arrived at the facility unannounced to conduct a 1-Year Required Annual Inspection. LPA met with Facility Administrator, Chad Young, and explained the purpose of the visit.
LPA Boyles and Administrator toured facility together to ensure health and safety of residents in care. LPA observed the facility to be clean, in good repair and odor-free. In the areas toured no immediate health, safety, or personal rights violations were observed.
Areas toured include but are not limited to: common areas, resident bedrooms, and common restrooms. LPA observed each bathroom to have the necessary grab bars, non-skid flooring or shower chair, paper towels, and trash can with lids. Facility has a 2-day perishable and a 7-day non-perishable amount of food and sharps to be locked. Hot water temperature was measured above 120 degrees F in three locations within the facility. LPA observed the medications to be locked and inaccessible to residents.
LPA observed fire extinguishers, fire detectors, and carbon monoxide detectors. LPA observed the first aid kit to be complete and ready for emergency use. LPA observed the emergency disaster plan to be complete but not updated or reviewed since 2021. The facility was unable to provide documentation that the emergency disaster drills were conducted over the last 12 months.
LPA reviewed a total of three (3) residents' files and five (5) staff files which contained all of the required documentation.
Several topics were discussed.
Deficiencies cited from Title 22 Regulations and or the California Health and Safety Code.
Several topics were discussed.
An exit interview was conducted, and Plans of Corrections were reviewed and developed collaboratively. A
copy of this report, LIC 809-D, and Appeal Rights were discussed and provided. |