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25 | Licensing Program Analyst (LPA) Albert Marin conducted an unannounced required annual inspection in this facility. LPA met with Administrator (AD) Flor Marina Pedroza and stated the purpose of this visit.
The facility is single level structure licensed for capacity of six non-ambulatory and with hospice waiver for three. For this visit, there was no resident under hospice care.
About 12:08 PM, LPA Marin was granted entry after completing the Coronavirus 2019 (COVID 19) screening procedure. LPA observed three residents in care and one staff member on the floor. LPA toured the interior and exterior portions of the facility. There were four private and one shared resident’s rooms. Rooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Hardwired smoke, carbon monoxide and auditory exit alarms were tested to be operational. Bathrooms were provided with grab bars; non-slip floor mats, and hot water was tested at 111 degrees Fahrenheit. Facility met the minimum two day perishable and seven day non-perishable food stock requirements. Medications, cleaning supplies and sharp items were inaccessible to residents in care. Fire extinguisher was mounted and charged. Outside portion included patio furniture in good repair, and grounds were free of tripping hazards. Exterior exit doors were self-closing and self-latching. AD's certificate is still in process in Sacramento. LPA reviewed the COVID 19 mitigation plan of the facility.
For this visit, the facility was observed to be in substantial compliance with Title 22 Division 6 of the California Code of Regulations.
LPA Marin advised AD F. Pedroza to use the general email of the office: CCLASCPOrangeCountyRO@dss.ca.gov in sending out incident reports and other general correspondence
LPA Marin conducted an exit interview with AD Pedroza. Copy of this report was left in the facility. |