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25 | Licensing Program Analyst (LPA) Pang Lee arrived unannounced to conduct a health and safety case management visit. The facility is on quarterly visits due to non-compliance concerns discussed during an office meeting on 04/23/2024. LPA met with administrator Julie Nonu and explained the purpose of the visit. The census is 5 with 2 facility staff.
LPA Lee and care staff Qalo toured the physical plant to ensure compliance with Title 22 regulations. LPA observed 6 resident bedrooms, 3 resident bathrooms, common area, staff room, smoking area, kitchen, laundry room and the courtyard. LPA Lee observed resident bedrooms to have necessary furniture and furnishings. Bedrooms were equipped with a bed, chair, dresser, and closet space. It was observed resident bathroom #1 had a urine odor. During today’s visit, administrator disinfected and cleaned resident bathroom #1. Administrator stated that the non-skid mat probably needed to be cleaned and that it was probably holding urine which may has caused the urine odor. Bathrooms handrails and non-skid mats are in good repair. Fire extinguishers were up to date and fully charge. No emergency exits were obstructed. LPA reviewed food supply to ensure that the facility had a 2-day perishable and 7-day nonperishable food supply. LPA observed laundry room where it was observed that detergent, laundry room and all cleaning supplies were locked and made inaccessible at this time. Knives were observed to be locked and made inaccessible.
LPA requested to review 5 resident files and 3 staff files. Staff files and resident files were observed to be current with up-to-date files. LPA Lee reviewed 5 resident medications and it was up to accurate and complete.
Per California Code of Regulations, Title 22, Division 6, Chapter 8, no deficiencies observed. Citation for resident bathroom urine odor was cited during 08/29/2024 annual facility inspection. An exit interview was held, and a copy of the report was provided. |