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25 | Licensing Program Analyst (LPA) Lydia Martinez contacted the facility via telephone to conduct a Pre-Licensing visit via Face Time due to COVID-19 and pre-cautionary measures. LPA identified herself and discussed the purpose of the call with Administrator Lourdes Menchaca. A Change of Ownership to operate a Residential Care Facility for the Elderly was submitted to the Central Applications Bureau (CAB) for a capacity of 82 non-Ambulatory residents. The Costa Mesa Fire Department - Station 3 conducted a Fire Safety Inspection on 01/15/2020 and granted the fire clearance. A virtual tour of the physical plant was conducted inside and out with Administrator Menchaca and Director of Health Services, Breanna Pritchard, and the following was observed:
Facility serves all Memory Care residents. Building has 41 rooms designed to accommodate up to 82 non-Ambulatory residents. Current census is 43. The entire building is secured with delayed egress exits. The entire premises including the kitchen, dining room, activity room, medication room, laundry, patios, storage areas and a sampling of resident rooms were toured. Fire extinguishers were mounted and charged. Smoke detectors are centrally wired and are checked by the Fire Department. Facility supplies furnishing but residents can furnish their own rooms. There was an adequate supply of fresh linen. Medication room is locked for centrally stored medications and locked area for toxins and cleaning supplies. A call system is in place. The delayed egress system was tested. As this is an existing facility, food supply was checked. This facility has also submitted a hospice waiver request and a plan to care for residents with dementia. Physical plant safeguards have been checked. The Component III Requirement has been waived as the Administrator is experienced with facility operations and is in good standing.
The Pre-Licensing is complete and this facility has no deficiencies. License will be granted upon approval by the CAB. An exit interview was conducted and a copy of this report will be provided to Administrator Menchaca via email to sign and return to LPA Martinez via email. |