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25 | Licensing Program Analysts (LPA's) Ruth Wallace and Kesha Lewis arrived at this facility unannounced to conduct a Required 1 Year Annual Inspection Visit. LPA's was met by care staff who informed Administrator Anthony Limbrick of the LPA's visit. LPA's explained the purpose of the visit and staff accompanied LPA's on the facility inspection. Administrator Certificate Expires 5/6/2024.
LPA's and staff inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry area, living area and other common areas, as well as outside of the facility to ensure compliance with Title 22 regulations. Facility is a 4 bed facility with a current census of 3. There is entry door is leading to the living room, kitchen with a hallway to the bedrooms and bathrooms. The hallway has COVID precautions in place including social distancing noted. Medications and toxins noted to be locked to residents in care. Bleach, LPA's also conducted the infection control domain tool.
The facility submitted a LIC 808 mitigation plan, which was approved. The facility has central entry point and has implemented screening and sign in procedures at the front door area. The facility conducts routine symptom screening for employees, residents, and visitors. LPA's observed the facility to have hand washing stations, COVID-19 informational signage, and social distancing signs posted throughout the facility, on the front door, and outside. The facility has a designated infection control lead individual. The facility is able to designate and dedicated a COVID-19 room/bathroom if needed. Common touch surfaces are cleaned after each use. The hot water temperature was measured using the facilities thermometer to be 108.6*F which is within the required range of 105-120*F. LPA's observed the facility to have adequate food supply of 7 days non-perishables and 2 days perishables in place. Resident rooms were sanitary and had the required furniture and furnishings. The facility common areas were clean and furnished. Smoke and carbon detectors were in good repair. Fire extinguisher was purchased on 7/23/2022 and is in compliance. The facility also has a built in alarm and sprinkler system. Facility has an emergency food and water supply in a separate storage area in kitchen. All staff on-site have current fingerprint clearances. LPA's requested the following documents to be updated and emailed by 8/11/22: Infection Control Plan, LIC 308, LIC 400, LIC 402, Copy of Surety Bond, LIC 500, and LIC 610D.
A review of (2) facility resident records was conducted and have all required documents for Community Care Licensing (CCL). A review of (3) facility personnel records was conducted. All staff is fingerprint cleared and associated to the facility. All staff have current First Aid certifications on file. Facility is conducting initial and continuing training as required.
Per California Code of Regulations, Title 22 no deficiencies were observed during this visit. Exit interview was held with Administrator and a copy of report was left at the conclusion of visit. |