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25 | Licensing Program Analyst (LPA) Wolter conducted a prelicensing inspection via tele-visit with administrators Daniel and Monica Brooks on 01/27/2021 due to COVID-19 and precautionary measures. The facility has an approved fire clearance for six (6) non-ambulatory residents, LPA observed no residents in care at time of inspection.
Administrators and LPA toured the facility via video conferencing and observed the following areas: six (6) resident bedrooms with half baths, shower room, common areas, laundry and medication room, garage, and outdoor space. The facility appeared to be in good repair at time of inspection and equipped with smoke and carbon monoxide detectors throughout the home. LPA observed laundry and medication room to require key code entrance, knives were observed to be stored in a locked drawer. Resident bathrooms had required grab bars, shower room had required grab bar and non-slip flooring. LPA observed facility to have supply of non-perishable food items and administrators understand a 2-day supply of perishable items is to be on hand when residents are in care. Facility water heater was set to appropriate temperature between 105-120 degrees F. Fire extinguisher was serviced on 12/3/2020.
Facility will utilize care and compliance for staff training. Administrators understand that complete staff and resident records are to be kept at the facility. Copy of liability insurance was sent to LPA.
Applicant has satisfied all requirements in accordance with Title 22, California Code of Regulations.
Component III was waived as licensee has an existing facility in substantial compliance. LPA will contact the Centralized Application Bureau (CAB) for final review and approval. CAB will further contact applicant on final status of application.
Exit interview conducted and copy of report was emailed to licensee, signed copy to be returned to Community Care Licensing, a signed copy should be retained for facility records. |