Facility Evaluation Report
On 03/05/2024, Licensing Program Analyst (LPA) Jaynae Boyles, arrived at the facility unannounced to conduct a 1-Year Required Annual Inspection. LPA met with Facility Administrator, Stacy Baxter and explained the purpose of the visit.
LPA Boyles and Administrator toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, and common restrooms. LPA observed the bedrooms a majority of the rooms of the 8 wings of the facility to have all the required furnishings. However, LPA observed one room in the 800 wing to a bucket with urine. LPA observed the facility to not be odor free throughout the facility but was clean. LPA observed the bathrooms to have odor and one to not be in good repair. Of the bathrooms toured, one of eight (8) did not have a working bathtub. LPA observed the water temperature to be above the required temperature in two (2) of the eight (8) resident. LPA observed a resident room to have oxygen but no posting outside the resident room to indicate oxygen is in use. Facility has a 2-day perishable and a 7-day non-perishable amount of food. However, the kitchen was disorganized, cluttered and not clean.
LPA observed several fire extinguishers, fire detectors, and carbon monoxide detectors throughout the facility last which was serviced in January of 2024. LPA observed the first aid kit to be complete and ready for use. LPA observed the fire system to have been last serviced in February 2024. LPA observed medications and toxic chemicals to be locked and inaccessible to residents.
LPA reviewed a total of six (6) residents' files and six (6) staff files. Of the six resident files reviewed, two of three residents had bed rails but did not have medical orders for the postural supports found in the resident file. Of the six resident files reviewed, LPA observed all of the required documentation. LPA reviewed six (6) staff files, all were missing a TB test and documentation of first aid training.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction