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25 | Licensing Program Analyst(LPA) Nicol Wesley conducted an unannounced Required 1 year (annual continuation) year inspection at the facility and met with Administrator Elvira David and explained the purpose for todays visit. Prior to the visit LPA Wesley conducted a risk assessment for on-site inspections. The facility phone number is 562 924 3132.
The facility is a two story home that consist of (5) five bedrooms(2 for staff), (4) bathrooms(1 for staff). kitchen, laundry area, living room, dining room. The first level consists of (3) resident bedrooms and (3) resident bathrooms, family room, kitchen, TV area, and laundry room, back yard with outside shaded area, and a Garage. The second level(upstairs) is designated for staff use only, which consists of (2) bedrooms and (1) one bathroom. The facility is licensed for 6 residents age 60 and above, in which 4 can be non ambulatory, and there is a Hospice waiver for a total of 2 residents. A Pre screening area with PPE supplies was observed upon entry into the facility. LPAs observed the supply of food. Resident medications, and medication logs were reviewed.
LPA toured the entire physical plant and observed: Resident Bedroom #1(bathroom #1), Bedroom #2(bathroom #2), Bedroom #3, and Bathroom #3 to have all required furniture, and the bathrooms and showers are operable. During the visit the Infection control domain was used and the following areas were observed/inspected: The facility had all postings at the front entrance, bathrooms, throughout the facility, and back exit door(family room). Hand sanitizing gel and masks were located at the entry of each room.
The smoke detectors/carbon monoxide detector are operable. There are a total of 5 fire extinguishers(kitchen, family room, patio, garage, and 2nd flood hallway). The water temperature was tested and measured 113.7 degrees F. The final mitigation report was received on 07/26/21. Administrators certificate for Elvira C. David #6009328740 expires on 05/16/2022. There are no deficiencies cited during todays visit. Exit interview conducted. |