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) Lydia Martinez made an unannounced visit to the facility to conduct a Required - 1 year inspection. LPA was allowed entry into the home by Staff Conrad Manimbo. Administrator Maria Manimbo arrived shortly after. AD's Certificate expires on 04/26/2025.
There are 2 Residents and 2 staff present during today's visit. LPA, along with Staff Conrad toured the physical plant. LPA observed the facility to be clean and in good repair. The home is maintained at a comfortable temperature. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each Resident comfortably. Bathrooms were checked, toilets/water faucets worked properly and shower was free of mold/mildew. Hot water temperature was within regulatory requirements. Bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards, doorways were free of obstructions. Kitchen is clean and organized. Perishable and non-perishable food supply was checked and adequately stocked. LPA observed sharps and cleaning supplies are inaccessible to the residents. Smoke detectors and carbon monoxide detector tested operational; Fire extinguisher was fully charged and mounted. No bodies of water were observed outside. Walkways around the home were clear of hazards. Exit gates are unlocked and self-latching. Backyard has a covered patio with patio furniture for outdoor activities and sufficient seating for Residents and visitors. Emergency/Fire Drill are conducted but not documented. LPA observed emergency supplies including food and water. LPA reviewed 2 Resident files and 2 staff file. Resident files contained required documentation such as health assessments and admission agreements. Staff files contained required documentation including fingerprint clearance. Medication was observed to be in a centrally stored location and medication reviewed appeared to have been dispensed accurately.
Based on the observations made during today’s visit, the following deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. This report, along with Appeals Rights was discussed with the facility Administrator and a copy of this report, and LIC9102TV, were provided via email. |