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25 | Licensing Program Analyst (LPA) Albert Marin conducted an unannounced required annual inspection in this facility. LPA met with Administrator Mark Fisk and stated the purpose of this visit.
The facility is licensed for capacity of six non-ambulatory and with hospice waiver for three. For this visit, there were two residents under hospice care.
About 1:08 PM, LPA Marin was granted entry after completing the Coronavirus 2019 (COVID 19) screening procedure. LPA observed six residents in care and two staff members 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. Smoke, carbon monoxide and all auditory exit alarms were tested to be operational. Bathrooms were provided with grab bars; non-skid floor mats, and hot water was measured at 118 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. For the exterior portion of the facility, patio furniture were observed in to be in good repair, and grounds were free of tripping hazards.
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 conducted an exit interview with AD Mark Fisk and copy of this report was left in the facility.
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