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25 | Licensing Program Analyst (LPA) Ruth Wallace conducted unannounced required 1 year annual inspection visit. LPA met with administrator and explained purpose of visit. Administrator certificate expires 8/8/2024.
LPA and administrator inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, activity room, and outside backyard area. LPA observed sufficient furniture and lighting throughout the facility. LPA observed sufficient seven day non-perishable and two day perishable food supplies. LPA measured the hot water temperature in resident's bathroom at 113.4 degrees Fahrenheit which is within the required range of 105 to 120 degrees.
Fire extinguishers last inspected on 10/10/2023. Smoke detectors are operational. LPA observed centrally stored medications are kept locked and inaccessible to residents. LPA reviewed and compared resident medication vs. medication logs. First aid kit was checked and is complete. LPA observed carbon monoxide detectors in the facility. Facility fire drill was completed on 1/4/2024.
LPA reviewed four resident files and three staff files, including criminal record clearances. A review of staff records indicates that all facility staff or other individuals who require caregiver background checks are Fingerprint cleared and associated to the facility. LPA verified staff training for staff file reviews.
LPA Wallace requested the following updated documents be emailed to community care licensing by February 9, 2024: LIC 308 - Designation of Administrator, LIC 500 Personnel Report, and Staff Hours Log Copy of Liability Insurance, Articles of Incorporation and Bylaws, Copy of Control of Property, and Copy of Administrator's Certificate.
ruth.wallace@dss.ca.gov
Per the California Code of Regulations, Title 22, Division 6, Chapter 6, no deficiencies were cited during this visit.
Exit interview held with administrator. A copy of reports and LIC 811 (Confidential Names) were left at facility. |