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25 | Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced Required Annual Inspection to ensure substantial compliance with Title 22 regulations. The facility file was reviewed prior to the visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Program Coordinator Ivan Pena.
According to the facility’s license, the facility has a maximum capacity of eleven (11). During today’s inspection, there were a total of 9 clients in care. This facility does not feature a secured perimeter or delayed egress doors.
LPA, accompanied by Program Coordinator Pena, toured the interior and exterior of the facility, and inspected rooms. The facility was clean, sanitary, and in good condition. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, screens, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings. The facility’s ambient internal temperature was compliant. Hot water temperature at taps accessible to clients were all compliant. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Residents are responsible for meal prepping. Cooking/dining equipment and utensils were present. Sharps and poisons/chemicals are locked and only accessible with staff permission. Medications were labeled, as required, and stored in locked areas. During today’s visit LPA reviewed client records, and interviewed staff and clients.
No deficiencies were cited during today’s visit. An exit interview was conducted with the Program Coordinator Pena to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.
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