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25 | Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to the facility today to conduct an Annual Required Evaluation. LPA was greeted and granted entry by Adrianna Harbin, Administrator (AD).
The facility is a level 4-I, single story building with an approved fire clearance of four non-ambulatory clients. The facility currently has a census of three clients in care.
During today’s visit, LPA toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors, testing hot water temperature in two of three resident bathrooms, and testing auditory devices on all exits. The hot water temperature measured between 107.4 and 118.5 degrees Fahrenheit and all smoke detectors were operational. The fire extinguisher is charged and was serviced on December 13, 2023. The facility’s last fire drill was conducted on May 26, 2024. LPA inspected the facility food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand. LPA observed medication storage and reviewed the centrally stored medications. Per review medication appear to be being given as prescribed.
LPA reviewed three of four staff training and fingerprint records. LPA conducted a complete review of client records. Client P&I records were reviewed and accounted for. LPA interviewed alert clients regarding their quality of care and spoke to staff present regarding care provided. LPA confirmed that administrator has a pending administrator certificate which had expired in November 15, 2023. Paperwork submitted and check cashed.
Based on the observations made during today’s visit, the facility appears to be in compliance with Title 22 Division 6 of the California Code of Regulations, no deficiencies cited on this date. An exit interview was conducted with Adrianna Harbin, AD and a copy of the report and files reviewed (LIC 858 & LIC 859) were given at the time of the visit. |