Facility Evaluation Report

On 9/29/22 at 8:35 AM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct an Annual inspection. LPA explained reason for inspection at reception desk and met with Administrator Jeanette Madkins. Area Director Hahn Mireles arrived later in the inspection.

Facility uses one main entry point where screenings are conducted on all staff, clients, and visitors. Facility was observed clean and without any obstructions. Hand sanitizer was readily available to residents and visitors. Social distancing and masking is maintained in the common areas. Cleaning and PPE supplies were checked. Resident emergency contact information is updated annually or semi-annually during client meetings with Kern Regional Center and care provider. The following forms are to be submitted to CCL within 2 weeks: LIC500 and LIC610D (new revision).

The following deficiencies were observed:

1. Two fire extinguishers were observed last serviced on 9/14/21.

2. Three staff were identified without a transfer of a criminal record clearance. S1 has been working since 11/2017, S2 has been working since 6/27/22, and S3 has been working since 7/18/22.

3. S4 did not have a completed criminal record clearance and has been working in the facility since 7/25/22.

Deficiencies are being cited based on LPA observation, interview conducted, and record review in accordance with the California Code of Regulations, Title 22, see LIC809D. Civil penalties are being assessed in the amount of $100 per day, for a maximum of 5 days for each staff, for a total of $2000. See both LIC421BG for more details.

Exit interview conducted and Plan of Correction developed and reviewed with Administrator. A copy of this report and appeal rights were given to Administrator Jeanette Madkins, whose signature confirms receipt of this report.