1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25 | Licensing Program Analyst (LPA) Sabrina Calzada and IB Investigator, Nathan Rodriguez, arrived unannounced to conduct an annual inspection. LPA met with Jennifer Newell and Luz Sunga, staff, and explained purpose of inspection. Administrator, Lourdes, arrived at approximately 1:00 pm. The facility is a level 4--I home, vendorized by Alta California Regional Center, and is licensed for (4) non-ambulatory clients. LPA observed (2) clients in the home at the start of the inspection and (2) clients return from day program with staff, Edgar. There are no clients currently under hospice care.
LPA and Administrator toured the interior and exterior of the facility including the common areas, (4) private resident bedrooms, staff room, (2) resident bathrooms, kitchen, office, laundry area and garage. LPA observed the facility to be clean, in good repair and odor-free and each bathroom to have the necessary grab bars, non-skid flooring or shower chair, paper towels, trash can with lids and 20-second hand-washing poster. There is sufficient 2+day perishable and 7+day non-perishable supply of food and sharps were locked in the kitchen. There are locked toxins in the laundry area and locked medications in the office. There are sufficient towels/linens/blankets/PPE/emergency supplies. The inside temperature measured 70*F and hot water measured 108*F in the kitchen. The fire extinguisher was last serviced on 9/12/23 and the smoke/monoxide alarms are in working order. LPA observed locks on each client door, as required by Title 17, and there is a key for each client and a spare key for staff, if needed. There are (2) unlocked exit gates on the outside patio and covered patio seating.
LPA reviewed (2) of (4) client files and found them to contain current individual/nursing care plans, physician's reports and other documentation. P&I funds were reviewed for (2) clients, found to be accurate with receipts/documentation maintained. Current copy of a surety bond was obtained. Medications orders were compared to medications being administered for (2) clients and no discrepancies were noted. (9) staff files were reviewed and found to contain current First Aid/CPR training and other required training. RCFE Administrator Cert #6041507740- exp 7/12/24.LPA observed required postings to be posted. LPA requested an updated copy of the LIC308, LIC500 be sent to CCLD by 3/22/24. Current insurance copy obtained.
There are no deficiencies issued during today's inspection. Exit interview. Copy of report provided. |