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25 | Licensing Program Analyst (LPA) Tao, conducted an unannounced annual inspection. The facility is licensed to serve six (6) Mentally Disable clients, Ambulatory only, from age 18-59. Client census is six (6). The annual fee is paid. LPA met with Administrator Manuelita, who assisted with the visit. LPA discussed with administrator regarding the purpose of today's visit and the inspection.
During the visit, the following domain of the new inspection tool was used: infection control domain;
a tour of the facility conducted; food supply was reviewed; and medications were reviewed.
LPA toured the facility inside and outside. Facility is a single-story home located in a residential neighborhood consisting of three (3) clients’ bedrooms, two (2) private family bedrooms, one (1) staff bedroom, two (2) bathrooms, kitchen, dining/sitting area, living/activity room, a secured pool at the backyard and a garage. A shaded area with chairs is provided in the rear. Bathrooms are operational. Facility maintains the required two (2) days perishable and seven (7) days non- perishable. Clients’ bedrooms have beds, dresser and closet space available. Adequate linen and personal hygiene supply are observed. Lamps/lights for each room are available to ensure the safety and comfort of all persons in the facility. Smoke detectors and Carbon monoxide detectors are operable. Hot water temperature is measured at 109.5 degrees Fahrenheit. Medications are centrally stored and locked. Medications are properly logged and current. Hazardous items are locked and inaccessible to clients. Fire extinguisher is fully charged. Pesticides/poisons are not stored in food areas, kitchen, or where kitchen equipment/utensils are stored. The secured pool at the backyard which is not in use with a locked gate is inaccessible to the clients. Last disaster drill is conducted on 12/28/21. Administrator certificate is current with expiration date of 7/28/23.
No deficiencies were observed to be in violation of California code of Regulations, Title 22, Division 6.
An exit interview was conducted. This report is discussed and provided to Administrator, whose signature on this form confirm receipt of these documents. |