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25 | Licensing Program Analyst (LPA) Anthony Tuck Island arrived to conduct an unannounced annual/random inspection on 07/20/2021. LPA met with staff Prince Ehimamiegho and explained the purpose of the visit. Justice Ehimamiegho is the Administrator and holds certificate #6038919740 that expires on 06/11/2022
This facility is a single story building licensed to serve six (6) non-ambulatory residents and a waiver to service 2 hospice residents. LPA toured the physical plant including but not limited to two resident bedrooms, two resident bathrooms, garage and backyard area. LPA observed the facility to be free of odor, clean and in good repair. LPA observed sufficient furniture and lighting throughout the facility. There are no bodies of water present.
LPA observed sufficient seven day non-perishable and two day perishable food supplies. Hot water temperature was measured at 106 degrees Fahrenheit in resident bathroom sink, which is within the required regulation of 105 to 120 degrees Fahrenheit. Fire extinguishers and smoke and carbon monoxide detectors are in compliance with fire safety. Fire extinguisher last serviced 11/30/2020. Thermostat observed at 79 degrees Fahrenheit.
LPA observed centrally stored medications, toxins and sharp knives kept locked and inaccessible to clients. LPA reviewed and compared resident medication vs. resident medication logs. LPA reviewed staff associations to the facility. First aid kit was checked and is complete.
The following forms need updating and were collected during visit on 07/20/2021:
LIC 308, LIC 500, LIC 610, copy of Administrator Certificate, copy of liability Insurance.
Per California Code of Regulations, Title 22 Division 6, Chapter 8, Exit interview held with Prince Ehimamiegho and a copy of report given at the conclusion of the visit. |