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25 | Licensing Program Analyst (LPA) Ruth Wallace conducted an unannounced required annual inspection visit. required annual inspection visit. LPA met with administrator and explained purpose of the visit.
LPA and administrator evaluated the physical plant to ensure the health and safety of the residents in care. Areas inspected are including but not limited to the kitchen, resident bedrooms, two bathrooms, living and dining room and outdoor areas. LPA observed the facility to be free of odor, clean and in good repair. LPA observed that all rooms are equipped with the required furniture and sufficient lighting throughout the facility.
LPA measured the water temperature, temperature measured at 113.2 degrees F which meets the 105-120 degree Fahrenheit regulation. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Fire extinguishers last inspected on 10/3/2023. Fire drill was conducted on 10/10/2023. Smoke and carbon monoxide detectors are in compliance with fire safety. First aid kit was checked and is complete. LPA observed centrally stored medications, toxins, and sharp knives kept locked and inaccessible to residents.
LPA reviewed and compared resident medication vs. resident medication logs. LPA reviewed three resident and three staff files, including criminal record clearances. All staff are fingerprint cleared and associated to the facility.
LPA Requested the following documents for facility file to be sent via email by December 14, 2023 : LIC 308 Designation of Facility Responsibility, LIC 500 personnel report, LIC 610E Emergency Disaster Plan, Liability Insurance, Current Administrator Certificate and Resident Roster.
ruth.wallace@dss.ca.gov
Per California Code of Regulations, Title 22 there were no deficiencies cited during today's inspection.
An exit interview was conducted with administrator. A copy of this report and (LIC 811 - Confidential Names) was left at the facility.
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