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25 | On 9-27-23 at 1:00 pm, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to conduct a quarterly health and safety check. LPA met with Administrator Adetayo Kokumo and explained the purpose of the visit. Health and Safety check is conducted based on a previous informal conference held originally on 10-27-22.
LPA Bilger inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, living area, common TV area, and outside backyard of the facility to ensure compliance with Title 22 regulations. Facility is a 6-bed residential facility for the elderly with a current census of 3. Facility has 6 bedrooms and 3 bathrooms. There is a formal living room and family/TV room for residents. LPA observed all toxins and other dangerous items inaccessible to residents in care. No obstructions to emergency exits noted.
There were 2 staff on duty during LPA's visit today. Water temperature reads between 105*F and 120*F in the bathroom and room temperature reads 75*F. LPA observed the facility to have adequate food supply during today’s visit. .
Smoke and carbon detectors were in adequate repair. Facility has an emergency food and water kit. Fire extinguisher is fully charged and dated 10/24/22. LPA requested the following updated documents: LIC 500. LPA reviewed 3 resident files and 2 staff files. LPA also reviewed medication log sheets and incident reports since March 2023. All regulatory contents in staff and resident files were present. Appraisal needs and services plans are updated at this time.
Per California Code of Regulations, Title 22, no deficiencies were observed during this visit. Exit interview was held and a report was given to Administrator Adetayo Kokumo.
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