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) 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 11/01/2023. LPA met with Administrator Celeb Summerhays and Nurse Mel Dearing and explained the purpose of the visit. The census is 113.
LPA Lee and Nurse Mel toured the physical plant to ensure compliance with Title 22 regulations. LPA observed 9 resident bedrooms and bathrooms, lobby, activity area, smoking area, and medication room. LPA Lee observed resident bedrooms and bathrooms to have necessary furniture and furnishings. Bedrooms were equipped with a bed, chair, dresser, and closet space. 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 3 resident files and 3 staff files. Staff files and resident files were observed to be current with up-to-date files. LPA Lee reviewed 3 resident medications in chart 1 and it was up to accurate and complete.
Per California Code of Regulations, Title 22, Division 6, Chapter 8, no deficiencies observed. An exit interview was held, and a copy of the report was provided.
|