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25 | Licensing Program Analyst (LPA) Shobhana Frank made an announced visit for the purpose of conducting a Pre-licensing evaluation. LPA Frank was granted entry into facility by Applicant Mae Ortiz and licensee Felinda Espiritu. This facility is already an operating Residential Care Facility for the Elderly under a different license and is undergoing a change of ownership. LPA observed two (2) Caregivers and four (2) residents during the visit.
LPA observed COVID - visitation station equipped with hand sanitizer, thermometer, Gloves, visitors log,
COVID posters throughout the facility. All staff and resident are vaccinated. Facility conduct COVID testing every week for the staff. LPA observe the facility to be clean and in good repair, Physical Plant and Safety of Environment/Operational as CCL Requirements.
LPA inspected the inside and outside of the facility. During inspection, LPA Frank observed the following: Facility is a 6 bedroom, 3 bathroom, two story house with an attached garage that is being used for storage and kept locked. There is access into garage from inside the home. There is a courtyard with cover and seating for all residents. There is one side gate that leads to the backyard. Facility telephone number is (714) 821-4084 and 310-755-1733 The resident bedrooms are spacious and furnished. Residents can supply their own furniture. Lamps & chairs for each resident bedrooms have been provided. Bathrooms were clean, faucets and toilets were operational. Linen & hygiene supplies were observed. Food Service. 2 days perishable and 7 days nonperishable food supply observed. Smoke and Carbon Monoxide detectors interconnect, were tested and were found to be operational. Fire Extinguishers were observed and mounted. Stove burners, microwave, washer, and dryer inspected. Locked/stored area for knives in the kitchen drawer was observed. Toxins are kept in locked cabinet under kitchen sink. Water temperature tested at 105.2 degrees F. Medication is kept in locked filing cabinet located in dining area. First-Aid Kit & Activity Supplies were observed and available. Applicant is aware of the required documentation/training for residents and staff per regulation. Fire clearance was approved on 11/1/2021. A Component III Orientation was conducted during this Pre-Licensing visit.
Applicant demonstrated a clear, concise and comprehensive knowledge of medication protocols, documentation and preventative protocols. The Pre-Licensing evaluation has been completed. Facility will be licensed pending review and approval from the Centralized Application Bureau.
This report was reviewed with the Applicant and a copy was provided. |