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25 | Licensing Program Analyst (LPA) Cheryl Goodrich arrived at 11:51 a.m. to conduct an unannounced annual visit. LPA met Caregiver Liza Macalma at the front door and was granted entry. The Administrator Kristine Skoglin at 12:24 p.m. The purpose of today’s visit is to inspect the facility to ensure that the facility is following California Code of Regulations, Title 22, Division 6. Facility is approved for 6 non-ambulatory residents. The facility has an approved hospice waiver for 6 residents.
Infection Control: The facility has an approved infection control plan and a surplus of supplies for infection control including but not limited to mask, gloves, gowns, first aid kit, and cleaning supplies.
Physical Plant and Environmental Safety: The facility is a two-story home. The facility temperature read at 75 degrees. The facility consists of 6 resident bedrooms, and 6 bathrooms, living room, kitchen, and backyard. The bedrooms are furnished with tv, lighting, closet space, and dresser. The beds are clean and have clean linens and the pathways are clean and clear of obstruction. The bathroom temperature read at 107 degrees within regulation near the kitchen and inaccessible to residents. The upstairs portion of the home contains the administrative office and staff bedrooms. The ARF and has a current fire clearance for the facility, smoke and carbon monoxide detectors and fire extinguishers and are in working order.
Personnel Records-Training: The staff records are completed with fingerprint clearance, Health screening for TB, CPR/First Aid training, and in-service trainings, including but not limited to Alzheimer/ Dementia Care, Medication Training, and Hospice Care Training.
Client Records-Incident Reports: The facility has identification and emergency information, physician’s report, resident appraisal, hospice documentation, physician's orders, client rights, and admissions agreement.
(Continued on LIC809-C) |