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25 | Licensing Program Analyst (LPA) Ruth Wallace conducted unannounced 1 Year Annual Inspection Visit on this date. LPA met with Administrator and informed of the purpose of the visit. Facility's Mitigation Plan and infection control procedures for this adult care home. Facility has submitted a mitigation plan to community care licensing. Administrator Certificate #6013988735 Expires 09/24/2023.
LPA toured the facility with Administrator. Smoke alarms are hard wired into the building and were tested and are operable. Fire extinguisher expires 3/21/2023. Facility has carbon monoxide detectors, Medications and toxins are secured in the home. The facility has four clients and 3 bedrooms for the clients. Client's bedrooms, activity area, bathrooms, living room, kitchen and outside areas were checked. LPA observed the following posted in the facility: See Something Say Something complaint poster, Reporting Requirements per AB40, Resident Bill of Rights, Resident Personal Rights, Evacuation Routes and facility license were all posted as required.
LPA reviewed (6) staff files. All staff is fingerprint cleared and associated to the facility and all staff have current First Aid or CPR certifications on file. Facility is conducting initial and continuing training as required. LPA reviewed (4) client files and all required community care licensing (CCL) documents were present in files.
LPA received the following documents from facility: LIC 308 - Designation of Administrator, Surety Bond, LIC 610D, and Administrator Certificate.
Per California Code of Regulations, Title 22, no deficiencies were cited.
Exit interview held with Administrator and a copy of report given at the conclusion of the visit. |