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Water temperatures read at: 118 F in kitchen half bath, 117.7 F in main bath, 113 F in guest house, 110 F in bedroom #4, 116 F in bedroom #3, 116.2 F in bedroom #1, and 113 F in bedroom #2, all which are within regulation of 105 & 120 degrees F.
Facility has sufficient items used for cooking and eating. Cleaning supplies and toxins have dedicated locked cabinet in outside laundry room. Laundry space with washer and dryer present in dedicated entertainment area, per Administrator this space will only be used in case of emergency or if outside washer and dryer malfunction. Administrator advised that all potential toxins, soaps and detergents will be stored in outside laundry area. Facility has areas inside and outside for visiting and activities.
All rooms have exit sliding doors with alarms present and functioning. All windows fitted with alarms as well. alarms on and functioning at time of inspection. LPA observed guest house to be separate from main house and per Administrator is intended for resident occupancy, therefore it is required to have a call system. Per Title 22 regulation 87303(i) residents occupying the guest house will need to have the following capacity: (A) operate from each resident's living unit; (B) transmit a visual and/or auditory signal to a central staffed location or produce an auditory signal at the living unit loud enough to summon staff; (C) Identify the specific resident's living unit.
Facility has outdoor fountain pond with water approximately three feet deep. Pond surrounded by plastic fence measuring approximately 48 inches. Outside emergency exit paths all clear. The two exits on each side of the facility had a padlock on the gate. LPA and Administrator discussed that emergency exit gates shall not be padlocked when residents are in care. Administrator immediately removed padlocks.
Administrator certificate #6051254740 for Martha Marimbi present in facility and shows expiration of 3/21/2025.
The following items to be corrected and or obtained prior to LPA submission of facility's application for approval: fireplace to be adequately screened, call system present for proposed resident(s) occupying guest house, and first aid kit needs to have thermometer and scissors added to kit. Administrator to provide photos of items. Once acceptable photographic proof is received by CCL, LPA will submit facility's application for approval.
Comp III reviewed and exit interview conducted with Administrator and a copy of this report given. |