Senior Care Records.

Facility Evaluation Report

Destiny House, Rosamond02/02/2023Licence 157206777

Capacity4
Census4
Date signed02/02/2023 11:44:16 AM
The inspector’s account

On 02/2/23, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an Annual Inspection - Infection Control. LPA introduced self, stated the purpose of the visit, and requested to meet with Administrator. LPA met with Yolanda De Avila, staff 1 (S1). Staff 2 (S2) Jacqueline Lamb arrived shortly. Administrator Terrence Hardge was called and authorized staff to receive and sign report. LPA conducted tour with S2. Three clients present during tour.

Upon entry facility staff was observed with facial covering. Visitor log-in/temperature check was observed upon entry. Hand sanitizer was readily available to clients and visitors. Facility has one entrance/exit point. Facility appeared cleaned with no obstruction or fire clearance issues. Social distancing is maintained in the common and dining areas. LPA observed COVID-19 related signs and cough etiquette postings in facility. LPA observed fire extinguisher purchased date: 07/24/22. LPA observed a small amount of PPE supplies. 30 days PPE supplies storage in a central location. Food supply was checked and appeared to be an adequate supply.

All clients’ room toured and observed to be adequately furnished and lit. LPA observed 4 bedrooms that are single occupant. LPA observed trash bin with no lid in bathrooms. LPA observed hand washing posting by all sinks. LPA checked clients’ locked medications. At 10:32 AM, LPA and S2 observed cleaning chemicals stored unlock in hall cabinet. At approximately 10:37 AM, LPA and S2 observed tools stored in garage unlock. The exterior tour was conducted. Side gate was self-closing and free of obstruction. All clients’ records reviewed to have updated emergency contact information.

A deficiency is being cited on the attached 809D in accordance to California Code of Regulations, Title 22, Division 6.

Exit Interview conducted. The following documents are requested and submitted to Fresno CCL by: 02/08/23. The following updated forms were requested: Lic 308, Lic 309, Lic 500, Lic 610D. A copy of this report and appeal rigths was provided to S2.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction