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25 | Licensing Program Analysts (LPAs) Michael Tea and Fred Arias conducted an unannounced visit. The purpose of today’s visit was to conduct the Annual Required inspection. At around 1:13 PM, LPAs Tea and Arias was greeted and granted entry into the facility by caregiver, Honey Cel Nguyen and explained the reason for the visit. The Administrator (AD) Karl Padua arrived shortly after to assist during the visit. The facility is licensed for 6 non-ambulatory residents, with a hospice waiver for four. Currently there are six residents, of which four are on hospice during today's visit.
Around 1:30 PM, LPAs reviewed six resident files and two staff files. Resident files and staff files contained all required documentation. Upon review of records, the facility is up to date with required quarterly fire drill, which was last conducted in December 10, 2024. AD Padua’s current certificate has expired on November 16, 2024 and completed the renewal process and due to the department’s back log is currently pending.
LPAs along with the AD Padua toured the facility around 2:10 PM. LPAs toured the physical plant, checked food service, and the first aid kit. The facility is a single-story home that consists of 5 resident bedrooms, one staff room, 2 full bathrooms and 1 half bathroom, living room, dining room, kitchen and attached garage. LPAs observed smoke detectors/carbon monoxide in common areas and bedrooms are operational. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, and shower was free of mold/mildew. Water temperature measured between 109.5 F degrees and 111.2 F degrees. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards, doorways were free of obstructions. First aid kit had all the required elements including bandages, tweezers, thermometer, and scissors. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit.
Continuation of Annual Inspection report on LIC809C
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