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25 | Licensing Program Analyst (LPA) M. Flores arrived at the facility unannounced to conduct a required annual visit. LPA was granted entry by caregiver staff and explain the purpose of the visit. Licensee Cherry Lynne Garcia arrived at the facility minutes after to complete this annual visit.
The residence was set at 76 degrees F temperature and free of passageway obstructions inside and outside. LPA observed four bedrooms in the residence; three out of the four bedrooms are occupied. Residents' rooms were toured and inspected. Rooms were found to be clean, and furnishing was in good condition. Hot water temperature measured between 106- and 116-degrees F.
Kitchen toured, supply of food observed, and food stored properly for perishable and nonperishable. Medication and knives are locked in the kitchen area. Cleaning supplies are kept locked in the garage and in their storage room. Smoke and carbon monoxide were checked and operating. Fire extinguishers was service on 3/01/23. Last drill completed on 6/11/23. There was outdoor seating for the residents. Outdoor area was clean and free of obstruction.
During the visit a file review was conducted for residents and staff files. An exit interview was conducted, and a copy of this report was provided to Licensee whose signature confirms receipt.
LPA requested the following updated forms faxed to CCLD by 1/12/24: Designation of Facility Responsibility (LIC308), Administrative Organization (LIC309), Personnel Report (LIC 500), Proof of current Liability Coverage, LIC 9282, Fire drill training log.
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