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25 | Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced required annual visit. LPA was granted entrance and met with Kimberly Upchruch- Licensee.
The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected client bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately.
LPA observed charged fire extinguishers, fire alarm system and carbon monoxide units are operable, hazardous items are kept inaccessible to residents. Hot water was tested reading 105- 120 degrees F.
Kitchen/Food Service: observed entire kitchen, food is stored properly and dishes are clean. There is a sufficient supply of perishable and non-perishable foods for the clients in care.
Care & Supervision: Facility has sufficient care staff.
Administration: Emergency exiting plans, telephone numbers and Ombudsman information are posted.
Record Review: LPA reviewed three (3) client files for admission agreements, updated physician reports, and needs and services plans.LPA also reviewed three (3) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings.
Medication: Medications were audited at random and appeared to be dispensed appropriately by staff members. PNI funds were counted for and matched with the ledger.
Miscellaneous: Court yard is set-up for the comfort of the residents.
No cited deficiencies per Title 22, Division 6 of the California Code of Regulations cited at this time.
Exit interview conducted and copy of report provided to Kimberly Upchurch. |