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25 | On 7/16/24, at 10am, Licensing Program Analyst (LPA) Arvin Villanueva arrived to the facility unannounced to conduct an annual required visit. LPA met with Debbie Loesch, Administrator (ADM), and explained the purpose of the visit. During this visit, present were 5 residents in care and 6 staff.
The facility is a one-story home located in a residential neighborhood. LPA and ADM toured the facility to ensure compliance with Tile 22 regulations. LPA observed 5 resident bedrooms. Bedrooms were equipped with a bed, chair, lamp, dresser, and closet space. No emergency exits were obstructed. Resident bathrooms were observed to be clean and had required items. Medications, sharps, and cleaning supplies were observed to be locked and inaccessible to residents in care. Common areas were clean and free from debris. LPA observed a covered patio with outdoor furniture. Fences and gate were observed to be in good repair. Hot water temperature was measured at 109*F. Room temperature was observed at 75*F. Carbon monoxide and smoke detectors were observed and tested and found to be operable. Food supplies were observed to be properly stored. Facility maintains 2-day perishable and 7-day nonperishable food supplies. Oxygen signage was observed. Fireplace was observed to be screened and not in use.
Today was the facility's grocery day. Staff were observed to be completing ADLs, assisting residents, and preparing lunch. Residents were observed watching TV, and some were inside their room watching television.
LPA reviewed 5 staff files and 5 resident files. Technical assistance (TA) was provided to complete ongoing training and ensure all required staff files are maintained. For resident files, TA was provided to ensure facility maintains a complete resident files including updating Needs and Services Plan, ensuring signatures were completed, and PRN authorization to be obtain for each resident, medical assessment of ambulatory status is accurate. LPA reviewed 2 of 6 residents medications. Per review of disaster procedure, facility conducts monthly fire drills. No health or safety concerns were observed during this visit.
LPA requested a copy of the following documents to be emailed by 7/18/24: updated LIC500, LIC308 and current Liability Insurance Certificate.
Per California Code of Regulations (CCR) - Title 22, Division 6, Chapter 8, no deficiencies were observed. An exit interview was held, and a copy of the report was provided |