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25 | Licensing Program Analyst (LPA) JoAnn Rosales conducted a Pre-licensing tele-visit with Licensee/Representative/Administrator Viktoriia Andreichenko due to the situation surrounding the Coronavirus Disease 2019 (COVID-19), and to implement mitigation measures. This application is a change of ownership from Casa Cambria #425801988. Component III was conducted in conjunction with this pre-licensing visit.
LPA inspected facility for Fire Safety, Personal Accommodations and Services, Medication Procedures, and Food Service. First-aid kit is complete, facility has adequate linen, water and nonperishable food supplies.
Facility has 4 private bedrooms, 1 shared bedroom, 1 employee room and 4 bathrooms. Hot water temperature tested at 114.6 degrees Fahrenheit in resident bathroom. The common areas were appropriately furnished and lighting was adequate. There are games, books and magazines for activities. Resident medications and records are kept in a lock filing cabinet in the kitchen. Staff records are kept in a locked cabinet in the kitchen. Disinfectants, cleaning solutions and poisons are kept inaccessible. LPA observed smoke detectors and carbon monoxide detectors operating properly and fire extinguishers properly charged. Fire clearance is approved for 6 non-ambulatory residents of which 1 may be bedridden in bedroom #5.
The physical plant is in compliance with Title 22 regulations at this time.
A telephonic exit interview was conducted with Licensee/Representative/Administrator and a hard copy was provided via email for signature.
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