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25 | Licensing Program Analysts(LPAs) Christine Yee and Emily Peraldi conducted a joint required Annual Inspection using the complete CARE Inspection Tool and met with Marty Bacon, Administrator. Also participating in today's visit was Stephen Manalo, Administrative Assistant. The reason for today's visit was explained.
The facility is a 2 story, large commercial building consisting of bedrooms number 100-125 (25 rooms) downstairs and bedrooms #201-203(3 rooms) upstairs, dining room, 2 common shower rooms and 2 half bathrooms downstairs and 1 full bathroom and a half bathroom upstairs. The facility is fire cleared for 58 NON-AMBULATORY residents.
On today's visit, 8 staff files and 11 resident files were reviewed. The following 2 domains were also reviewed during today's visit: Personnel Records - Training, Client Rights - Information. The remaining 10 domains will be reviewed on a return visit.
Per review of resident files, 10 out of 11 resident files require an updated addendum to the Admission Agreement to reflect the change in the annual basic services rate, 6 out of 11 resident files did not have consent forms, 3 out of 11 files did not have completed Safeguards/Property Valuables, Resident #1 did not have evidence of a TB test, Resident #2 and Resident #3's Physician's Report does not indicate their ambulatory status. Per review of staff files, Staff #1 does not have evidence of first aid training, Staff #2 does not have a completed and signed Health Screening(LIC503).
Deficiencies cited under California Code of Regulations, Title 22, Division 6, Chapter 1 and Chapter 6. Any deficiencies noted and not addressed on today's visit will be addressed on a return visit.
Exit Interview was conducted. |