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25 | Licensing Program Analysts (LPAs) Sanjay Vaid and Luis Mora conducted an unannounced annual visit at the facility using the CARE Tool. LPAs met with Caregiver Cheryl Lacambra and explained the reason for the visit. The Administrator Erlinda Hatmal arrived shortly after. The facility is licensed to serve six non-ambulatory residents ages 60 and above and may retain one hospice resident. Facility is not operating within the scope of its license due to currently having 1 bedridden resident and 2 hospice residents.
A tour of the single-story facility included: kitchen, dining area, living room, laundry room, 4 resident rooms, 1 caregiver room, 1 resident bathroom, 1 staff bathroom, front yard, and backyard. LPAs and Cheryl toured the facility, and the following was observed: The front and backyard are well maintained and there are no pools or large bodies of water. There is a shaded seating area for the residents located in the backyard. Passageways and exits are free of obstruction. Auditory devices were seen on exit doors which are required for dementia residents and were operating at the time of the visit. The water temperature was tested in the residents’ bathroom and measured at 117.4 degrees F which is within the required 105 - 120 degrees F. The bathroom is clean and have the required grab bars in the shower and near the toilet for non-ambulatory residents. Showers also have non-skid materials. Resident bedrooms have the required furniture such as bed frames, dressers, lamps and chairs. Bedrooms also have enough closet space. Resident beds have the required linen and the linen is in good condition. There is extra clean linen and towels in the caregiver’s room. Smoke detectors were observed in each room and throughout the facility and are properly operating. There is a carbon monoxide in the hallway, and it is properly operating. There are 2 fire extinguishers located in the kitchen and laundry room which are fully charged. Kitchen appliances are clean and were operating at the time of the visit. Sharps are kept locked under the kitchen sink and are inaccessible to residents. Sufficient supply of 2 days perishable & 7 days non-perishable foods was observed in the kitchen. Cleaning supplies and toxins are locked in a cabinet in the laundry room and are inaccessible to residents. First Aid kit was fully stocked with current manual and it is kept locked in the residents’ medication cabinet in the kitchen. Residents medications are centrally stored in a locked cabinet in the kitchen. Residents and staff files are centrally stored in a locked cabinet in the dining area. LPAs reviewed 5 residents’ medication and observed that medication properly documented and given as prescribed. LPAs reviewed 5 client files and 4 staff files. LPAs interviewed 1 staff and 2 residents. LPAs observed bed rails on R1, R2, and R3, but there was no doctor's orders for those bed rails in their files.
Per California Code of Regulations, Title 22, and California Health and Safety Code, there were deficiencies observed during the visit (Refer to LIC 809-D). Exit interview held and a copy of the report and appeal rights were provided. |