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25 | On 11-20-23 at 10:37am, Licensing Program Analyst (LPA) Michael Bilger arrived at this facility unannounced to conduct an annual inspection visit. A previous attempted visit was conducted on 9-12-23. LPA met with the administrator Virginia Yadao and explained the purpose of the visit.
LPA inspected the physical plant including but not limited to the kitchen, dining area, resident bedrooms; resident bathrooms, laundry room, living area, common TV area, and outside of the facility to ensure compliance with Title 22 regulations. Facility is a residential care facility for the elderly (RCFE) with a current census of 0. Licensee is currently awaiting vendorship from regional center. Facility has 4 bedrooms and 3 bathrooms for resident use. Facility has a dining area off the kitchen and a formal living room. LPA also conducted the inspection using the CARE tool. The facility has an approved infection control plan in place.
Water temperature reads 105*F to 120*F in the bathroom and room temperature reads 70*F. LPA observed the facility to have adequate food supply. 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 checked 6-22-23. Facility has an emergency food and water kit. All toxins and other dangerous items including sharp objects were locked and inaccessible. Medication storage area was observed to be locked and inaccessible. First aid kit was observed to have adequate supplies and accessible to staff. All staff noted on LIC 500 contained criminal background clearances. Facility’s surety bond is current and update to date per regulatory requirements. Facility has a current liability insurance in place. Facility does not contain any bodies of water. LPA observed personal rights, resident council and complaint information posted. Facility has appropriate internet access available for resident use. LPA observed sufficient equipment and supplies to meet activity program needs of residents in care. LPA reviewed facility’s disaster plan to ensure regulatory compliance. LPA requested an updated copy of LIC 308 and LIC 500. 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 Virginia Yadao |