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25 | On 11/15/23, 10am, Licensing Program Analysts (LPAs) Christina Valero and Arvin Villanueva arrived at this facility to conduct a post-licensing inspection. LPAs met with staff on duty (S1), Shyniel Brown and explained the purpose of the visit. S1 then informed Chukwudi Ikiseh via telephone. Chukwudi is unable to come to the facility during the visit and gave S1 permission to sign this report. During this visit, one staff was on duty with four residents in care.
At 10:30am LPAs inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, living area, other common areas, and outside of the facility to ensure compliance with Title 22 regulations. Facility is a single-story home with a fire clearance to serve 6 non-ambulatory elderly residents and hospice approved for two (2). Facility has 4 resident bedrooms, and 2 bathrooms for resident use. Each resident have their own bedroom. LPAs observed both bathrooms to contain grab bars, non-skid flooring, shower chairs, close lid trash containers and hygiene supplies. Resident bedrooms were sanitary, furnished, well-lit and had adequate storage for resident’s belongings.
The facility common areas are cleaned and furnished. Facility has a dining area off the kitchen and a formal living room. In the kitchen area, LPAs observed the kitchen to be sanitary and free of clutter. Additionally, the kitchen knives and other sharp objects are kept in a locked drawer. Toxins and cleaning supplies are kept locked. LPAs observed the facility to have adequate food supply with at least 2 days’ worth of perishables and 7 days’ worth of non-perishables. LPAs observed the garage to be free of clutter. The garage also houses additional fridge and additional non-perishable food. Additionally, the garage was observed to have couches.
{Con't on 809-C}
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