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25 | 01/23/2023 10:00 AM Licensing Program Analyst (LPA) Rebecca Knight arrived at the facility unannounced to conduct a Required-1 Year inspection. LPA met with Daryl Convento, LVN lead staff Gemma Posadas and explained the purpose of the visit. Administrator Michael Mephleib was unavailable for the visit.
LPA Knight and staff toured the facility together to ensure the health and safety of residents in care. Areas toured include but are not limited to four (4) resident rooms, common areas, two (2) bathrooms, kitchen, storage areas and back yard. Staff and resident files were reviewed. All employees requiring background checks are cleared. The facility has a hospice waiver for 3 residents.
Bedding, linens, and towels for residents were observed and found to be clean and in good repair. There is an adequate supply of toiletries for the residents. Medication is locked in a cabinet.
The facility was observed to be at a comfortable temperature. Common area was clean and in good repair. All bedrooms had required furniture, bedding, and lighting. Bathrooms were clean, in good repair and contained necessary grab bars and non-slip floors. Kitchen was clean and in good repair. Food appears to be stored and prepared properly. Facility has required (7) seven-day non-perishable and (2) day perishable supply of food. Fire extinguishers fully charged and inspected. Smoke detectors are all operational. No pools/bodies of water are on premises. No firearms are on premises.
LPA requested the following documents to be sent to CCL Santa Rosa office:
LIC 500- Personnel Report
Most up-to-date Liability insurance
In the areas toured no immediate health, safety, or personal rights violations were observed. No deficiencies are being cited as a result of today’s inspection.
Exit interview conducted and copy of report was provided to Daryl Convento,LVN.
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