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) Albert Marin made an unannounced required annual inspection in this facility. LPA spoke with Administrator (AD) Maryam Alamountinia and stated the purpose of this visit.
The facility is a single level structure and licensed for capacity of six with 5 non-ambulatory of which may be bedridden and with hospice waiver for three. For this visit there was one resident under hospice care.
LPA Marin was granted entry after completing the Coronavirus 2019 (COVID 19) screening procedure. For this visit, there were six residents in care and two staff members on the floor. LPA toured the interior and exterior portions of the facility. There were six private 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 auditory exit alarms were tested to be operational. Bathrooms were observed to be in good repair; and provided with handrails and nonskid - floor mats. Hot water was measured at 120 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, facility had patio furniture in good repair, and grounds were free of tripping hazards. Side exit door was self-latching and self-closing. LPA Marin reviewed the COVID 19 mitigation plan of the facility. LPA reviewed the latest visitation procedures 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 a phone exit interview with AD M. Alamountinia. AD gave permission for staff to sign and receive the report. Copy of this report was left in the facility. |