1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25 | Licensing Program Analyst (LPA) Dang Nguyen conducted an announced Pre-Licensing visit to observe the facility’s physical plant for compliance with Title 22, Division 6 of the California Code of Regulations and Health & Safety Code. LPA was greeted by, identified himself to, and explained the purpose of the visit to applicant Josefina Hulsey.
The facility fire clearance was granted on October 17, 2022 and reflects that the facility is approved for six (6) residents, of which four (4) may be non-ambulatory and two (2) may be bedridden.
During today’s visit, LPA, accompanied by the applicant, toured the interior and exterior of the facility and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were well lit and free of obstruction and slip hazards. Resident bedrooms allowed for easy passage and contained the required furnishings. Toilets and showers were in working order. The facility’s ambient internal temperature was 70 F. Water temperatures at taps accessible to clients were compliant: Kitchen was 113.5 F, Bathroom #1 was 115.2 F, Bathroom #2 was 106.2 F, Bathroom #3 was 117.1 F, Bathroom #4 was 118.2 F, and Bathroom #5 was 118 F.
The facility has enough linens, hygiene supplies, dining supplies, and perishable and non-perishable food for future resident use. Refrigerator temperatures were 35 F (for the unit inside the house) and 38 F (for the unit outside the house). Freezer temperatures were 0 F (for both units). The facility has sufficient space and equipment to facilitate laundry, visitation, meetings, and resident activities. The facility has locked areas for storage of medication and confidential resident and staff records. No pools or bodies of water were observed on the premises. There were no toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to residents. Per the applicant, no firearms or ammunition are or will be stored at the facility.
[CONTINUED ON LIC 809-C]
|