Facility Evaluation Report

05/17/2023 10:00 AM Licensing Program Analyst (LPA) Rebecca Knight arrived at the facility unannounced to conduct a Required-1 Year inspection. LPA met with administrator Renee Rhodes and explained the purpose of the visit.

LPA Knight and the administrator toured the facility together to ensure the health and safety of clients in care. Areas toured include but are not limited to four (4) client rooms, common areas, two (2) bathrooms, kitchen, storage areas and back yard.

Staff and resident files were reviewed. Staff files include a Health Screening but proof of TB clearance is not included on the form and there is no other proof of TB clearance on file. All employees requiring background checks are cleared. Administrator certificate is current. Medications were reviewed.

The facility offers multiple activities at least 3 times per day and depending on the clients preferences they may or may not chose to participate. Bedding, linens, and towels for clients were observed and found to be clean and in good repair. There is an adequate supply of toiletries for the clients. Medication is locked in a cabinet.

The facility was observed to be at a comfortable temperature. Hot water measured between 105 – 120 degrees F. Common area was clean and in good repair. All bedrooms had required furniture, bedding, and lighting. Bathrooms were clean and in good repair. Kitchen was clean and in good repair. Food appears to be stored and prepared properly. Facility has required (7) seven-day non-perishable and (2) day perishable supply of food. Fire extinguishers fully charged. Smoke detectors are all operational. No pools/bodies of water are on premises. No firearms are on premises. Last disaster drill was conducted in August 2023, the facility has been conducting fire drills monthly.

A deficiency is being cited as a result of today’s inspection. California Code of Regulations, (Title 22), is being cited on the attached LIC809D. Appeal rights were provided

Exit interview conducted and copy of report was provided to administrator Renee Rhodes.