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25 | Licensing Program Analyst/ (LPA) Jose Villalobos conducted an unannounced annual inspection visit with focus on Infection Control Domain. LPA was allowed entry into the facility by Licensee Flordeliza Sasada and facility Manager Tiffany Sasada. The purpose of the visit was discussed. The facility is licensed to serve 6 non-ambulatory residents age 60 and above. Hospice waiver approved for (1) resident.
During todays visit LPA reviewed: (3) resident files, (3) resident medication records, and (3) staff files as well as inspected the inside facility and outside grounds. The one story house located in a residential neighborhood consists of (3) resident bedrooms, (2) resident bathroom, living room, dining room, kitchen, kitchen dining area, attached garage/ storage, front sitting area with table and two chairs, backyard patio cover roof with (2) tables with 8 chairs, and an umbrella with table and four chairs. Kitchen was inspected and observed to be clean and operational. A 2- day supply perishable and 7-day supply of non-perishable foods are present in the facility. Emergency Water Storage is located in the garage. Facility has a mitigation plan that was received by LPA on 7/29/21. Staff are following infection control policies. LPA was screened upon entry. Required signs were observed in common areas. LPA observed that all facility rooms are clean and in good repair. The facility has central air and heating. (3) of (3) residents observed with required accommodations. Bathroom fixtures are clean, in good repair, and working properly and contain the required nonskid mats and grab bars. Carbon Monoxide/ Smoke Detectors were tested and working properly. The facility (1) Fire Extinguisher was checked and found to be fully charged and accessible. All exit doors in the facility have alarm systems. All toxins and knifes are locked/secured and inaccessible to residents. Medications are centrally stored and in a locked storage cabinet. Facility first aid kit is fully stocked with manual was observed. No bodies of water were observed. Three (3) resident files were reviewed and found to be complete.
According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA did not observe deficiencies therefore no citations were issued at this time. An exit interview was conducted and a copy of the Facility Evaluation Report was provided to Staff Armando Salvador as Tiffany had to leave the facility. |