1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25 | Licensing Program Analyst (LPA) Tony Vasallo and Nina Galarza conducted an annual required visit. LPA's met with administrator, Sara Sesay and explained the reason for the visit. LPA's used the infection control tool to evaluate the facility. LPA's observed the facility plant, COVID-19 procedures, reviewed residents' medications, observed food supply, and reviewed resident and staff files. Facility has an approved mitigation plan
Six (6) resident bedrooms were randomly chosen for review and were toured. Each bedroom has a smoke detector, bed, linen, dresser, light, and sufficient closet space. The bathrooms have the required grabs bars and non-skid materials in the shower. The hot water was between 108 - 112 degrees which is within the required 105 - 120 degrees. The kitchen was inspected. It's a large commercial kitchen with a walk-in refrigerator and freezer. There is sufficient perishable and non-perishable food. All the appliances are cleaning and working properly. The refrigerator and freezer were set at appropriate temperatures. Common areas such as the dining room, hallways, resident lounges, library, stairways, elevators, and sitting areas in assisted living and dementia unit were inspected. All areas were clean and had the required furniture. The outside patio areas have shaded sitting areas. Facility was observed following COVID-19 procedures such as visitor assessments, cleaning, and wearing PPEs.
LPA's reviewed 6 resident files to confirm emergency contact is updated. LPA's also reviewed staff files to confirm health screenings and fingerprint clearances. All staff files reviewed were fingerprint cleared. LPA's randomly chose some residents' medications to review. Medications are documented properly and stored appropriately.
Based on California Code of Regulations, Title 22, there were no deficiencies observed during the visit. A copy of the report was provided to the administrator. |