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25 | Licensing Program Analyst (LPA) Vasallo and Margaryan conducted a prelicensing visit. LPA’s met with applicant Yenny Indrawati. The applicant is a current licensee and therefore a component III is not required. The facility is currently licensed as Bethesda Care Glendora 198603083. This is a change of ownership and there are currently 4 residents in the facility. The fire clearance has been approved for 5 non-ambulatory residents and 1 bedridden resident. The applicant has requested to care for dementia residents and has submitted a waiver for 5 hospice residents. The physical plant was toured with the applicant. The following was observed.
There are auditory devices on exit doors as required for dementia residents. Smoke detectors were observed in common areas and in each resident bedroom. The smoke detectors are also carbon monoxide detectors. The garage was observed to only be used for storage. The garage has extra emergency water. Medications are stored in a locked cabinet near the kitchen. However, the facility does not have a complete first aid kit. The kit only had bandages. Windows and doors are in good condition and there were no obstructions near doors. There are also no security bars on the windows. There are 5 bedrooms for residents and 0 staff bedrooms. 1 of the resident bedrooms is a shared room, the rest are private rooms. Resident rooms were observed to have the required furniture such as bed frames, dressers, chairs, lamps and sufficient closet space. The bedding was also appropriate. The home has 3 bathrooms. The bathrooms have sufficient hygiene items. The bathrooms have the required grab bars in the shower and near the toilet along with the required skid mat. One of the toilets was missing a lid. Staff stated it was broken by a resident. There is sufficient lighting throughout the home including common areas and resident bedrooms. There is a fire extinguisher near the kitchen that was last checked in April 2021. The hot water temperature was 130 degrees F*, which is beyond the required 105 - 120 degrees.
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