Facility Evaluation Report

LPAs arrived at 10:00am and was greeted by caregiver Tamara. Upon entering the caregiver had to slide a cardboard box away from the door in order to let the LPAs enter the home. When asked why the box was blocking the exit door, the caregiver stated so that one resident would not leave the facility. LPA Spaeth informed her she cannot block the exit door. LPAs informed the Administrator of the purpose of the visit.

A tour of the physical plant was conducted with Administrator about 10:30 am. The facility has six (6) bedrooms and three (3) bathrooms currently occupying two (2) residents. LPAs spoke to both residents and they seem happy with the facility.

LPAs observed rooms to have the appropriate bedding. There is a night stand and sufficient lighting for each resident. LPAs tested the exit doors auditory system, and it was observed to be operational for each room. At 10:45 am LPAs observed all bathrooms to have non-skid mats, grab bars, and the appropriated wash your hands signs posted. LPAs observed no chemicals/hazardous items in the laundry area. LPAs conducted a tour of the kitchen around 10:38 and observed there to be sufficient food. Frozen foods are properly wrapped and stored appropriately. Food storage and preparation areas care clean and inaccessible to pests. LPAs observed a lighter located in an unlocked draw. The Administrator immediately locked it away. All knives and sharp object were locked and inaccessible to residents in care. LPAs toured the outside area of the facility at 10:45 am. LPA observed appropriate outdoor furniture, with a covered shaded area for residents. No bodies of water on the premises. LPAs observed the living room to be neat and clean along with the dining room. The facility maintains a comfortable temperature. The medication cabinet was locked and inaccessible to residents in care.

An exit interview conducted, deficiencies issued per CA Code of Regulations, Title 22, and a copy of this report was given to the Administrator.