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25 | Licensing Program Analyst (LPA) Pang Lee arrived unannounced to conduct a health and safety case management visit. The facility is on quarterly visits due to non-compliance concerns discussed during an office meeting on 11/01/2023. LPA met with Administrator Celeb Summerhays and Resident Care Coordinator Leslie Padilla and explained the purpose of the visit. The census is 119.
LPA Lee and Leslie toured the physical plant to ensure compliance with Title 22 regulations. LPA observed 11 resident bedrooms, 11 resident bathrooms, lobby area, staff offices, designated smoking area, kitchen, laundry room, activity room, Physical Therapy room and the medication room. LPA Lee observed resident bedrooms to have the necessary furniture and furnishings. Bedrooms were equipped with a bed, chair, dresser, and closet space. Bathrooms handrails and non-skid mats are in good repair. Fire extinguishers were up to date and fully charge. Kitchen hood is also up to date. No emergency exits were obstructed. LPA reviewed food supply to ensure that the facility had a 2-day perishable and 7-day nonperishable food supply. Knives were observed to be locked and made inaccessible. LPA observed laundry room where it was observed that detergent, laundry room and all cleaning supplies were locked and made inaccessible at this time.
LPA requested to review 7 resident files and 4 staff files. Staff files and resident files were observed to be current with up-to-date files. During today's visit, LPA Lee also review Med-Tech chart #1 and reviewed 7 resident's medications and along with the residents MAR logs and it was accurate and complete.
Per California Code of Regulations, Title 22, Division 6, Chapter 8, no deficiencies observed. Citation for resident bathroom urine odor was cited during 08/29/2024 annual facility inspection. An exit interview was held, and a copy of the report was provided. |