Facility Evaluation Report
On 9/19/2024 at 10:15AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with staff, Jadel Mendoza and explained the purpose of the visit. Administrator, Cecilia Hawkins arrived an hour later. The facility’s fire clearance was approved for 6 ambulatory clients.
LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, and outdoor area. Smoke and carbon monoxide detectors were observed. Fire extinguishers were observed to be full and last serviced on 7/25/2024. One week of nonperishable and 2-day of perishable food supplies were available. Hot water temperature was measured at 109.6 degrees F in the hallway bathroom. There were adequate lights in each room. First Aid kit is complete. No bodies of water observed. Last disaster drill was conducted on 8/11/2024.
LPA reviewed 3 clients and 3 staff files starting at 11:45AM. LPA reviewed client's P & I money with log. LPA reviewed a sample of client's medications. LPA interviewed 1 client and 1 staff during inspection.
At 10:45AM, LPA observed unlocked medication in the refrigerator.
At 10:50AM, LPA observed unlocked knives in the drawer of oven range. Staff locked up the knives during inspection.
At 12:30PM, LPA observed C1 does not have medical assessment on file.
The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiencies may result in civil penalties.
Exit interview conducted. A copy of this report and appeal rights were provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction