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25 | Licensing Program Analyst (LPA) Amy Rodgers conducted an announced Pre-Licensing visit. LPA was met by Applicant Penelope Pankey and was granted entry into the facility. The purpose of today's visit was to inspect the facility to ensure that the facility is in compliance with California Code of Regulations, Title 22, Division 6. The fire inspection was completed on 10/17/2024 and the facility is approved for 6(six) residents, 4(four) of which are ambulatory, one(1) non-amblatory and one (1) bedridden.
During today's visit, LPA toured the facility and inspected all common areas, outside spaces, and a sampling of resident rooms across the facility. The facility was found to be clean, safe, and in good repair with no pathway obstructions. Private and common resident bathrooms were observed to be clean and the toilets and showers were found to be in working order. The facility's water temperature in a sampling of resident bathrooms and kitchen were measured at 107 degrees Fahrenheit. LPA observed locked storage areas where all hazardous and/or toxic chemicals were stored and secured. LPA observed locked storage for resident medications and files. Fire extinguishers were observed throughout the facility and found to be in compliance. A functioning carbon monoxide detector and smoke detectors were observed in the facility. No bodies of water were observed near or on the premises. LPA observed 7-day supply of
non-perishable food. Required postings were observed in a common area of the facility. LPA reviewed the applicant's Infection Control Plan and Emergency Disaster Plan.
LPA conducted Component III with the applicant. The topics discussed were continuing operation
requirements, record keeping/reporting, and physical plant compliance.
Pre-licensing is complete, and this facility has no deficiencies. It is recommended that this facility be licensed pending final review and approval. An exit interview was conducted with the Applicant Pankey, whose signature below confirms receipt of a copy of this report. |