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25 | Licensing Program Analyst (LPA) Ruth Wallace arrived at this facility unannounced to conduct an Required 1 Year Annual Inspection Visit. LPA was met by direct care staff who informed Administrator Mary Ann Manzano of the LPA' s visit. LPA explained the purpose of the visit to staff. Administrator's Certificate # 6021224740 expires10/23/22.
LPA and staff inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry area, living area and other common areas, as well as outside of the facility to ensure compliance with Title 22 regulations. Facility is a 6 bed facility with a current census of 3 clients and 4 bedrooms and two bathrooms. There is entry door is leading to the living room, kitchen with a hallway to the bedrooms and bathrooms. The hallway has COVID-19 precautions in place including social distancing noted. Medications and toxins noted to be locked to residents in care. LPA also conducted the infection control domain tool. The facility submitted a LIC 808 mitigation plan, which was approved. The facility has central entry point and has implemented screening and sign in procedures at the front door area. The facility conducts routine symptom screening for employees, residents, and visitors. LPA observed the facility to have hand washing stations, COVID-19 informational signage, and social distancing signs posted throughout the facility, on the front door, and outside. The facility has a designated infection control lead individual. The facility is able to designate and dedicated a COVID-19 room/bathroom if needed. Common touch surfaces are cleaned after each use. LPA observed the facility to have adequate food supply of 7 days non-perishables and 2 days perishables in place. Resident rooms were sanitary and had the required furniture and furnishings. Water temperature reads 115.2*F in the bathroom and room temperature reads 75*F. Fire Extinguishers are in compliance and expire 7/14/2023.
LPA reviewed two (2) staff files. All staff is fingerprint cleared and associated to the facility and staff have current First Aid or CPR certifications on file. Facility is conducting initial and continuing training as required.
LPA reviewed two (2) resident facility files and all documents were in files required by Community Care Licensing (CCL).
Per California Code of Regulations, Title 22, no deficiencies were observed during this visit. Exit interview was held with direct care staff and a report was left at facility. |