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25 | On 08/22/2024 Licensing Program Analysts (LPAs) M. Vega & S. Hurt arrived at the facility unannounced to conduct a required Annual Inspection. LPAs introduced themselves and stated the purpose of visit. LPAs were allowed into the facility and new Licensee Julie Hergenroeder was contact and arrived at a later time.
Facility current capacity is 6 with a current census of 6. Facility has 4 bedrooms and 2 bathrooms, 4 of the bedrooms are for residents. 1 resident on Hospice at the time of inspection.
LPA toured the facility inside and out including entry, kitchen, dining, living room, bedrooms, bathrooms, and exterior. LPAs observed the facility to be clean, clutter, and odor free.
All fire exit routes were free and clear of obstructions. Smoke detectors and carbon monoxide detectors were tested and are in working condition. Fire extinguishers have been services as of 01/26/2024 and are in good standing. Smoke alarms are in working condition. LPAs observed knives and cleaning supplies to be locked and inaccessible to residents. Medications are stored in a locked cabinet in the dining area. Water temperature in the common bathroom was checked and read at 106 degrees Fahrenheit.
LPA’s observed Resident 1’s medication was not logged correctly on the Centrally Stored Medication Record.
LPA’s observed window screens with small rips, and one missing. The facility does not have the correct sized PUB 475 hanging inside the facility. LPA’s requested Licensee send proof of current liability insurance policy.
No deficiencies issued per the California Code of Regulations Title 22.
Exit interview was conducted and a copy of this report LIC809, LIC809D, and appeal rights was/were provided to Julie Hergenroeder. |