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25 | Licensing Program Analyst (LPA) Cheryl Goodrich arrived at 3:52 pm to conduct an unannounced annual visit. LPA met the Administrator Regina Holmes-Otto at the front door and was granted entry. The purpose of today’s visit is to inspect the facility to ensure that the facility is following California Code of Regulations, Title 22, Division 6. Facility is approved for six (6) residents (2 ambulatory and 4 non-ambulatory residents) with 2 residents in care (1 ambulatory, 1 non-ambulatory). The facility has an approved Hospice Waiver for 4 residents.
Infection Control: The facility has an approved infection control plan and a surplus of supplies for infection control including but not limited to mask, gloves, gowns, first aid kit, and cleaning supplies.
Physical Plant and Environmental Safety: The facility temperature read at 73 degrees. The facility consists of 3 resident bedrooms, and 2 bathrooms, 1 Administrator bedroom, living room, kitchen, and backyard. The bedrooms are furnished with lighting, closet space, and dresser. The beds are clean and have clean linens and the pathways are clean and clear of obstruction. The bathroom temperature read at 120 degrees within regulation requirements. The living room and kitchen clean and clear of obstruction. The medications are stored in a locked cabinet in the hallway and inaccessible to the resident. The facility has a current fire clearance, smoke and carbon monoxide detectors and fire extinguishers and are in working order.
Personnel Records-Training: There are no staff records available at this time. The Administrator is currently the only staff.
Client Records-Incident Reports: The facility has identification and emergency information, physician’s report, resident appraisal, client rights, and admissions agreements.
(Continued on LIC809-C) |