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25 | On 7/24/24, Licensing Program Analyst (LPA) D. Williams arrived at the facility unannounced to conduct a required Annual Inspection visit. LPA introduced himself, stated purpose of visit, and was allowed entrance by Licensee .
LPA toured the inside of the facility including entry, kitchen, dining, living room, bedrooms, & bathrooms. Facility thermostat reflected 72 degrees Fahrenheit. All fire exit routes were free and clear of obstruction. LPA observed medications are stored in a locked cabinet. Knives and sharp objects are secured.
Facility has 4 bedrooms and 4 bathrooms. All rooms and had required linens, required furniture, and were clean and in good repair. The bathrooms all had grab bars and non-slip mats available for resident use.
Licensee has fire extinguisher and is in good standing. Smoke detectors were present and operational Carbon monoxide detector was tested and in working condition.
LPA reviewed 3 resident files and 2 employee files. All employee files had documents requested by the LPA. 1 of 3 resident files did not have a recorded Tuberculosis test. Licensee stated she will get a copy of the TB test and provide to the Department.
A deficiency is being issued per the California Code of Regulations Title 22 on the attached LIC809D page.
Plan of correction was discussed and reviewed.
An exit interview was conducted and a copy of this report LIC809, LIC809D, and appeal rights were provided to Administrator. |