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25 | Licensing Program Analyst (LPA) Sandra Urena conducted an unannounced annual inspection. LPA was greeted by staff and the LPA explained the reason for the visit. The LPA communicated with the Administrator Cilva Toume and explained the reason for the visit. The Administrator stated that she would arrive within 20 minutes to the facility.
At 11:30 a.m., the LPA and the Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.
COMMON AREAS: At 11: 40 a.m. the living room and dining room furniture was observed to be in good condition. There is a fireplace in the living room, which is not in operation and is blocked by the television cabinet and the television. The facility is maintained a comfortable temperature of 76 degrees. Smoke detector(s) and carbon monoxide detector were tested and operational at the time of the visit. One fire extinguisher was fully charged and was last purchased on 06/13/2023. The LPA observed required postings by the entrance of the facility.
BEDROOMS: At 11:45 a.m. it was observed that the facility has six private residents’ bedrooms and two staff bedrooms. Every residents’ room has a direct exit to the yard. The LPA and Administrator observed that in bedroom #1, the door that leads to the bedroom’s private patio area was open. This patio has a gate that leads to the front of the house, and access to the street. The gate has a latch; however, the gate does not have a signal system to alert the staff if the resident opens the gate. The private patio area was observed to have old furniture (two mattresses), a tank of propane gas, which the administrator stated that it was empty, and two folding chairs. During the inspection, staff removed all the items from the private patio. Additionally, the rooms’ closet was observed to have a mattress inside leaning against the closet’s wall. At the time of the visit, bedroom #2 and bedroom #3 sound systems were not operational, however during the visit the administrator put in the new batteries.
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