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25 | On 11/27/2024 around 12:00 PM, Licensing Program Analyst (LPA) L. Holmes conducted an unannounced Annual Inspection. LPA explained the purpose for the visit to Lisa Wang, Administrator (ADM).
The facility has a COVID-19 mitigation plan on file; hand sanitizer, COVID-19 signage, and a visitor sign-in log remain in place. LPA toured the facility to include but not limited to the common areas, bathrooms, bedrooms, kitchen, garage, and backyard. LPA advised ADM to add covered garbage cans to all shared bathrooms. There was a sufficient supply of 2-day perishables and 7-day supply of non-perishable foods. All hand washing stations were equipped with soap, paper towels and garbage cans. There is a surplus of PPE stored in the garage of the facility that is accessible to all care staff. Hot water temperature in the shared residents' bathroom was measured at 107.2 degree Fahrenheit (F) and the facility's temperature was at a 70 degrees. Fire extinguishers were observed full and last inspected on 09/06/24. Smoke/Carbon Monoxide detectors were observed operational; first aid kits, five (5) staff files, and five resident files were complete.
The following forms are to be updated and submitted to CCLD:12/04/2024
-Resident Roster
-LIC500 Personnel Report
-LIC308 Designation of Administrative Responsibility
-LIC610E Emergency Disaster Plan (Reviewed)
-An updated copy of Administrator Certificate(s) (Reviewed)
Exit interview conducted and a copy of this report provided to the ADM. |