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(s) (LPA) Victoria Brown and Jamie Ivey Canady arrived announced to conduct a Pre-licensing visit on 12/23/21 at 2:30PM.
LPAs met with Jerome Tecson, Administrator at the request of the Applicant and stated the purpose of todays visit. The facility will be licensed for a capacity of 6 non-ambulatory residents. The Administrator certificate expires 8/19/22.
LPAs toured and inspected the physical plant inside and outside to ensure there are no safety hazards to residents. LPA observed rooms to have required furniture. LPAs observed residents during this visit.
LPA observed supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days maintained on the premises.
The temperature inside the facility was observed to be at 74*F which is within the required range of 68-85*F. The hot water temperature was measured at 115.3*F which is within the required range of 105-120*F.
LPA observed fire extinguisher(s), smoke and carbon monoxide detectors, and central heating and air in the facility. LPA observed the centrally stored medications area to be locked and inaccessible to residents. The first aid kit contained the required items such as sterile dressings, bandages, adhesive tape, scissors, tweezers, thermometers, antiseptic solution and guide.
Component III Waived-Licensure pending.
Per the California Code of Regulations, Title 22, Division 6, Chapter 8, no deficiencies observed or cited. Exit interview held, copy of report given |