1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25 | Licensing Program Analyst (LPA) Mita Partoza and LIcensing Program Manager (LPM) Romeo Manzano conducted an unannounced annual inspection to the facility. LPA and LPM met with administrator (ADM) Angelina Escobar and two staff.
Current census 6 and 1 out 6 is in hospice care.
During visit, LPA and LPM toured the facility to include the living room, dining room, kitchen, bedrooms, bathroom, garage, and backyard. Staff room was inspected, 2 bathroom were inspected. The bathroom hot water temperature was measured at 111F to 120F. room temperature in the facility was at 68-75F.
LPA randomly reviewed resident and staff records including _________________
Perishable and non-perishable food supply are within required regulation. Toiletries such toilet paper, paper towels, toothpaste are inspected and found to be in ample supply. Toxic materials such as laundry detergent, disinfectant are inaccessible to residents (locked in a cabinet).
Annual required inspection to be continued at a later date.
The following documents to be submitted on or before on or before 1/30/2023. LIC 500, LIC 308, LIC 309, Administrative Organization LIC400, Affidavit Regarding Client/Resident Cash Resources, LIC610D, Emergency Disaster. A copy of a current Administrator's Certificate LIC200 with updated information.
No deficiencies were cited per California Code of Regulations, Title 22 during today's visit. This report was reviewed with administrator Angelina Escobar.
|