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25 | Licensing Program Analyst (LPA) Michael Tea conducted an unannounced visit. The purpose of today’s visit was to conduct the Annual Required inspection. At around 1:14 PM, LPA Tea was greeted and granted entry into the facility by Administrator (AD) Rico Almiranez and explained the reason for the visit. The facility is licensed for 6 non-ambulatory residents, of which one may be bedridden, with a hospice waiver for five. Currently there are six residents during today's visit.
At 1:28 PM, LPA Tea reviewed six resident files and three staff files. Residents’ files and staff files contained all required documentation. With an exception to one staff missing their health screening and personnel record form that was later obtained and completed during the visit. The staff had previously work at the administrator’s other facility Candleberry Care. Rico’s administrator certificate expires on April 10, 2026.
LPA Tea along with the Administrator toured the facility at 2:36 PM. LPA toured the physical plant, checked food service, and the first aid kit. The home consists of 6 resident bedrooms, 1 staff room, 2.5 bathrooms, living room, dining room, courtyard atria and kitchen and attached garage. LPA 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 around 111.3 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. LPA observed sharps locked in a kitchen drawer. LPA also observed toxin substances to be secured and locked and inaccessible to clients in a designated cabinet in the garage. The fire extinguisher in the kitchen is fully charged and last serviced on March 19, 2024. The facility’s last fire drill was conducted on November 11, 2024. Kitchen appliances are operational during today's visit. LPA toured the outside grounds and there is ample seating with shade and the exit gate on the left side of the house is self-latching and operational.
Annual Inspection continued on LIC809-C
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