Facility Evaluation Report

On 06/12/24, 10am, Licensing Program Analysts (LPAs) Ariel Pascua and Arvin Villanueva arrived unannounced at this facility to conduct the required annual inspection. LPAs met with staff on duty (S1), and explained the purpose of the visit. S1 informed Chukwudi (Patrick) Ikiseh via telephone. Patrick arrived at 2pm. During this visit, one staff was on duty with 3 residents in care.

At 10:30am LPAs inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, living area, other common areas, and outside of the facility to ensure compliance with Title 22 regulations. Facility is a single-story home with a fire clearance to serve 6 non-ambulatory elderly residents and hospice approved for two (2). Facility has 4 resident bedrooms, and 2 bathrooms for resident use. Each resident have their own bedroom. LPAs observed one bathroom and contain grab bars, non-skid flooring, shower chairs, close lid trash containers and hygiene supplies. During an inspection of one of the bathrooms, LPAs found a drain cleaner under the sink and was observed to be accessible to residents in care. Resident bedrooms were observed to be furnished, well-lit and had adequate storage for resident’s belongings.

Facility has a dining area off the kitchen and a formal living room. During an inspection of the kitchen area, LPAs observed the knife/sharp drawer was unlocked and accessible to residents in care. In the kitchen refrigerator, LPAs observed a two containers of Lozenges. Per interview with S1, no one is using these Lozenges and S1 threw them in the garbage. LPAs observed the facility to have adequate food supply with at least 2 days’ worth of perishables and 7 days’ worth of non-perishables. LPAs observed the garage to be contain additional food supplies. Also in the garage LPAs observed resident medications inside a small refrigerator. The small refrigerator was observed to be unlocked. Also the door to the garage was unlocked during this visit which makes it accessible to residents in care. Additionally, the garage was observed to have 2 futons, a cabinet, a drawer, a desk and chairs.