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25 | On November 1 2024, at 2:01pm, Licensing Program Analyst (LPA) Edward Kim conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Kim was greeted and granted entry by Caregiver (CG) Cristina Kamijima. House Care Manager (HCM) Omega Ferrer arrived at the facility around 2:20pm.
The facility is licensed to operate for six (6) nonambulatory residents, of which one (1) may be bedridden, and have a hospice waiver for six (6) residents. The facility is a single story structure located in a residential neighborhood. It consists of the following: six (6) resident bedrooms, two (2) bathrooms, living area, dining area, kitchen, an outdoor covered seating area, and an attached two car garage.
LPA Kim toured inside and outside of the physical plant with HCM Ferrer. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for each resident’s personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. The Resident’s rooms were inspected: Resident Room 1, Resident Room 2, Resident Room 3, and Resident Room 4. Bathrooms were found to be clean and operational. The water temperature measured at 118.0 degrees F to 119.8 degrees F. A comfortable temperature of 74 degrees F was maintained in the facility.
LPA Kim observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is a two-day supply of perishable and seven-day supply of non-perishable food available and maintained properly. First aid kit is maintained and contains all the necessary elements.
Evaluation Report Continues on LIC 809-C
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