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25 | Licensing Program Analyst (LPA) Tao, conducted an unannounced annual inspection. The facility is licensed to serve six (6) mentally disable ambulatory only clients, from age 18-59. Client census is four (4). Facility annual fees were current. LPA met with caregiver, Lucita Atanacio, who assisted with visit. Administrator certificate is current and expires on 3/26/2023. LPA discussed with staff regarding the purpose of today's visit and the inspection.
During the visit, the following domain of the new inspection tool was used: infection control domain;
a tour of the facility conducted; food supply was reviewed; and medications were reviewed.
LPA toured the facility inside and outside. Facility is a single-story home located in a residential neighborhood. The facility consisted of three (3) clients’ bedroom, caregiver’s room, two (2) bathrooms, a kitchen, dining room, a family room with a TV, laundry area in the back porch and an indoor/outdoor activity area. A shaded area with chairs was provided in the rear. Bathrooms are clean and operable. Facility maintains the required two (2) days perishable food and seven (7) days non- perishable food. Clients’ bedrooms have two twin beds, dresser and closet space available. Adequate linen and personal hygiene supply were observed. Lamps/lights for each room were available to ensure the safety and comfort of all persons in the facility. Smoke detectors and carbon monoxide detectors are operable. Hot water temperature was measured at 107.5 degrees Fahrenheit. Medications are centrally stored and locked. Medications were properly logged and current. Hazardous items were locked and inaccessible to clients. Fire extinguisher was fully charged. Pesticides/poisons were not stored in food areas, kitchen, or where kitchen equipment/utensils were stored.
No deficiencies were observed to be in violation of California code of Regulations, Title 22, Division 6. An exit interview was conducted. This report is discussed and provided to caregiver, Lucita Atancio, whose signature on this form confirm receipt of these documents. |