Facility Evaluation Report

On 01/31/2022, Licensing Program Analyst (LPA) Walton conducted an Annual Inspection. LPA introduced self, stated the purpose of the visit, and requested to meet with the Administrator. LPA met with Administrator, Brandy Frazier and Program Supervisor, Antwanique Walker. A tour of the facility was conducted. COVID-19 guidelines are in place. Visitor log-in/temperature check was observed upon entry. Facility has one entrance/exit point.

Facility has no obstructions or fire clearance issues. Hand sanitizer was readily available to residents and visitors. Social distancing is maintained in the common and dining areas. Bathrooms do not have trash cans with lids. Hand washing posters were not observed by the bathroom sinks. LPA observed a tile in bathroom 1 to have a hole. The toilet in bathroom 1 had a constant running water noise. Bedrooms are single occupant. LPA observed the window screens to be missing in Room 1, Room 2, and the bathroom 1. LPA observed spider webs and dead insects on all window sills in client bedrooms. LPA observed 3 large holes in the wall of Room 3. LPA observed a broken chair with metal screws exposed in Room 3. Window blinds were broken and missing in Room 1, Room 2, and Room 4. LPA observed water on the toilet lid and floor of bathroom 2.

LPAs checked residents’ locked medications and observed a 30-day supply. Food supply was checked and there appeared to be an adequate supply. Cleaning and PPE supplies were checked. Facility staff was observed with mask on. Residents wear masks when away from the community. Resident’s files have updated emergency contact information.

Based on today's visit, a deficiency is being cited in the area evaluated and listed on the attached 809D according to California Code of Regulations, Title 22, Division 6.