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
26
27
28
29
30
31
32 | ...continued from LIC809...
The facility has a working landline telephone on site with internet services and a laptop for client use. Facility has a designated area with locked cabinets for centrally stored medications and client, staff, and facility files. LPA observed the facility's infection control plan, first aid kits, PPE, other emergency supplies, activity schedule, and games available for client use.
Facility has two fire extinguishers, which were last inspected May 2024 and are fully charged. Smoke and Carbon Monoxide detectors were tested and operational during inspection. LPA observed no evacuation chair present in facility. LPA informed Licensee/Applicant that "an evacuation chair at each stairwell in a residential facility serving adults" is required per Health and Safety Code, Section 1565(f)(1). Licensee/Applicant purchased one immediately and a receipt was provided to LPA during visit.
Licensee/Applicant has posted hard copies of the required program operation documentation, emergency disaster plan and maps, personal rights information, and reporting posters in facility communal areas. LPA informed Licensee/Applicant that visiting hours shall be posted as well. The facility currently has Licensee/Applicant and one staff member associated to facility and will begin hiring additional staff once NBRC approves the facility's vendor application. Licensee has been informed of association and staff transfer process.
The backyard features paved walkways, a lawn/dirt area, and patio with a shaded seating for client outdoor use. LPA advised Licensee/Applicant to purchase a larger shade for the seating area. The facility is working with a contractor who will be installing turf in the lawn/dirt areas. Licensee/Applicant states, facility will acquire additional recreational items for client use upon admission. Windows, screens, and blinds are all found to be in good repair and facility exits are clearly identified.
Licensee/Applicant provided LPA with a copy of the facility's lease agreement, proof of liability insurance, and a professional facility sketch which accurately reflects the floor plan.
Component III orientation was conducted with the Licensee Applicant at facility. Licensee/Applicant conveyed knowledge and understanding of Title 22 regulations. The pre-licensing evaluation has been completed. License will be granted upon completion of a final review and approval from the Licensing Program Manager. This report was reviewed with applicant and a copy was provided to the Licensee.
Exit interview conducted with Licensee, whose signature on this document confirms receipt. |