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 (LPA) Anthony Tuck Island arrived to conduct an unannounced annual/random inspection on 08/04/2021. LPA met with Staff Desenia Arrogante and explained the purpose of the visit. Melinda Munar is the Administrator and holds certificate #6021667740 that expires on 11/03/2022.
This facility is a single story building licensed to serve six (6) non-ambulatory residents. Facility has a hospice Waiver to serve 3 residents. LPA toured the physical plant including but not limited to two resident bedrooms, two resident bathrooms, and backyard area. LPA observed the facility to be free of odor, clean and in good repair. LPA observed sufficient furniture and lighting throughout the facility. There are no bodies of water present.
LPA observed sufficient seven day non-perishable and two day perishable food supplies. Hot water temperature was measured at 111.7 degrees Fahrenheit in resident bathroom sink, which is within the required regulation of 105 to 120 degrees Fahrenheit. Fire extinguishers and smoke and carbon monoxide detectors are in compliance with fire safety. Fire extinguisher last serviced 03/23/2021. Thermostat observed at 80 degrees Fahrenheit.
LPA observed centrally stored medications, toxins and sharp knives kept locked and inaccessible to clients. LPA reviewed staff associations to the facility. First aid kit was checked and is complete.
The following forms need updating and submitted to CCLD by xx/xx/2021:
LIC 308, LIC 500, LIC 610, Copy of Administrator Certificate, Copy of liability insurance
Per California Code of Regulations, Title 22 Division 6, Chapter 8, No deficiencies were cited during today's inspection. Exit interview held with Desenia Arrogante and a copy of report given at the conclusion of the visit. |