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25 | Licensing Program Analyst (LPA) Luis Mora conducted an announced annual visit using the CARE Tool. LPA met with Rose Lumbog (Caregiver) and explained the reason for the visit. The facility is licensed to serve 6 non-ambulatory residents, of which 1 may be bedridden, in the age range of 60 and over. Facility is approved for 6 hospice waivers.
A tour of the single-story facility included the 4 resident bedrooms, 1 staff room, 2 bathrooms, living room, kitchen, laundry room, attached garage, front yard and back yard. LPA Mora conducted the tour with Rose and observed the following: sufficient food supplies for at least 2 days of perishables and 7 days of non-perishables were observed in the kitchen. Kitchen appliances are clean and were operating at the time of the visit. Sharps were observed locked in the medication cabinet. Chemical and cleaning solutions are kept locked in the laundry room and bathrooms. The First Aid kit is kept locked in the medication cabinet and it is fully stocked with all required items including a current manual. Clean towels and extra clean linen were observed in the hallway closet. Dining and living room have sufficient lighting and sitting area. Medications are kept locked in a kitchen cabinet. All bedrooms have all required furniture, lighting, and bedding. The bathrooms are clean and have the required grab bars in the shower and near the toilet for non-ambulatory residents. The showers have non-skid materials. Auditory devices were seen on all exit doors which are required for dementia residents and were operating at the time of the visit. The water temperature was tested in both bathrooms and measured at 112.2 degrees F and 112.8 degrees F, which is within the required 105-120 degrees F. Fire extinguishers were observed in the kitchen and garage, and are fully charged. Smoke detectors and carbon monoxides were observed throughout the facility and were operable during the visit. The front yard and backyard are clean. There is a shaded area with seating in the backyard. No bodies of water were observed at the facility. Passageways and exits are free of obstruction. Fireplace has a screen cover. Resident and staff files are kept locked in a living room cabinet.
LPA reviewed medication for all 5 of the residents and observed that medications were given as prescribed. LPA reviewed files for all 5 of the residents and observed no deficiencies. LPA reviewed 6 staff files and observed no deficiencies. LPA interviewed 2 staff and 2 residents.
Per California Code of Regulations, Title 22, and California Health and Safety Code, there were no deficiencies observed during the visit. Exit interview held and a copy of the report was provided. |