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25 | Licensing Program Analyst (LPA) Ruth Wallace conducted an unannounced required 1 year annual inspection visit. LPA met with direct care staff and explained the purpose of the visit. Direct care staff assisted LPA for inspection visit on today's date. Administrator Certificate #6065976740 expires 2/18/2025.
LPA inspected the physical plant including, but not limited to the common area, kitchen, dining area, client bedrooms, client bathrooms, laundry room and outside courtyards of the facility to ensure compliance with Title 22 regulations. LPA observed the facility to be free of odor and clean. LPA observed bedrooms to be properly furnished with appropriate bedding and lighting. There are no bodies of water present. LPA observed an The hot water temperature was measured at 109.3*F in kitchen sink and is within the required range of 105-120*F. The temperature inside the facility measured at 75*F which was within the required range of 68-85*F. LPA observed sufficient seven day non-perishable and two day perishable food supplies.
The facility smoke and carbon detectors are in good repair. Fire extinguishers last inspected on 1/4/2024. The facility has a first aid kit, and the medications are stored in a locked cabinet. LPA toured the exterior of the facility.
LPA reviewed three resident files and two staff files, including criminal record clearances. A review of staff records indicates that all facility staff or other individuals who require caregiver background checks are Fingerprint cleared and associated to the facility. LPA verified staff training for staff file reviews.
The following documents shall be submitted to LPA Wallace by 01/19/2024:
LIC 308 Designation of Administrative Responsibility, LIC 500 Personnel Report, Copy of Administrator Certificate, and Proof of Current Liability Insurance.
ruth.wallace@dss.ca.gov
Per the California Code of Regulations, Title 22, Division 6, Chapter 6, no deficiencies cited during this visit.
Exit interview held with direct care staff. A copy of report and LIC 811 (Confidential Names) left at facility. |