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25 | Introduction: Licensing Program Analyst (LPA’s) Eric Stone, and licensee applicant Gurpeit Singh conducted an unannounced prelicensing visit over the phone due to covid 19 guidelines on 2/16/2021 via Microsoft teams at 01:30pm. Upon innital call licensee applicant was in facility. As of today, census is 0 residents.
Visitor policy and visitor logs not yet avalible and noted by lpa Staff and visitors enter the facility through ringing the locked front door, sanitizing supplies would be avalible in front station near front door. Hand sanitizer was available in the front entrance. Signs not yet up needed in dining room, front room, kitchen and bathroom and main living space.
Physical plant was clean and in good repair. Floor was tile, and in good condition. Fire extinguisher with no date on it observed. Water tempeture measured at 111.8 thermostat set 68. There was 2 full cabnits of nonperishable foods. Cleaner under locked sink was pinsol, clorolx bleach, Lysol. Fridge was set to 40 degrees and freezers at 0 degrees. Multiple First aid kit, w/ scissors and tweezers, wound cleaning, banadages, pain and allergy pills, gloves., thermoitor, blood pressure cuffm, sharps container. Stehiscope, to go wipes. Medical records and medications cabnits. Behind locked doos, bins with labels. Laundry room, locked, with cleaning supplies and ppe. Bed rooms, individual rooms, w/ closet, bed, chair, lamp and night stand and ceiling light, Double bed room with similar set up 3 feet head to toe orientation corrected during call. Restroom, sinks work shower and toilet works, grab bar by toilet, grab bar and slip mat in shower. Windows in good shape and repair. Garage for activity room and rainy day activities. Night lights in facility. PPE avalible throught house. All residents will live in single bed rooms with a single 2 person bedroom. Communal Dining Meals were served in dining room with 2 chairs on table, other options included eating in rooms and main living spaces tv trays used. Chairs not spaced 6 feet apart per covid per cautions.
Comp III completed with Licensee Gurpeit Singh Exit interview conducted with Gurpeit Singh signed and retuned via email to Eric Stone eric.stone@dss.ca.gov |