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25 | Licensing Program Analyst (LPA) Melana Llopis contacted the facility via Video-chat on 02/26/2021 for a scheduled Prelicensing tele-visit due to Covid-19 and precautionary measures. LPA spoke with the Administrator, Andrew Magee and reviewed the purpose of the visit. Facility has a fire clearance for four (4) non-ambulatory residents and two (2) ambulatory residents. The facility also has a hospice waiver for two (2). The facility currently has six (6) residents in care, of which four (4) are non-ambulatory and two (2) are on hospice care. Hospice care plans were readily available for review.
LPA and Administrator virtually toured the facility together, areas inspected include but are not limited to the following: facility entryway, kitchen, laundry room, resident bedrooms and facility restrooms, hallway, and backyard. LPA observed required signage posted in the facility. The facility has a visit screening in place. Masks are required to be worn in the facility by staff at all times. The facility has required furniture in resident rooms and sufficient lighting. Water was measured at 112 degress F. The fire extinguisher was found to be fully charged and last serviced on 11/13/2020. Sharps and toxins were observed to be locked and inaccessible to residents in care. Medications were also observed to be locked and inaccessible to residents. LPA observed the facility to have an adequate supply of 2 day perishable food items and an adequate supply of 7 day nonperishable items. LPA observed a sufficient amount of Personal Protective Equipment. The smoke detectors were found to be present throughout the facility and in working order. The carbon monoxide was observed to be in working order as well. First aid kit was found to be complete.
Applicant has satisfied all requirements in accordance with Title 22, California Code of Regulations.
Component III was waived as licensee has recently completed one and has other facilities 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. |