Facility Evaluation Report

Kao Care Services, Pasadena07/25/2023Licence 198600497

Capacity6
Census4
Date signed07/25/2023 02:58:35 PM
The inspector’s account

Licensing Program Analyst (LPA) Glenn Trueman made an unannounced visit and was greeted by Co- Administrator Kimberly Egbeyemi and Administrator Kadri Egbeyemi and explained the reason for the visit.

The purpose of the visit is to complete the required inspection.

LPA Trueman toured the facility along with Administrator Kadri Egbeyemi today 07/25/2023 at 12:15 PM and the following was observed

Facility contains 3 Client Bedrooms and 2 client bathrooms dining room, kitchen, and TV room.

Hot water temperature measured between 105 F. and 120 F. meeting Title 22 Regulations.

Required Annual Inspection included Infection Control Practices, Operational Requirements, Physical Plant/ Environmental Safety, Staffing, Personnel Records/ Staff Training, Resident Records/ Incident Reports, Resident Rights/ Information, Food Service, Health Related Services, Incidental Medical Services, and Disaster Preparedness.

LPA observed sufficient supply of 2 day perishables and 7 day non perishables.

Visitation signage was posted along with signage for hand washing and proper sanitizing.

Licensee maintained an individual admission agreement for each client.

Each client has personal rights free from corporal or unusual punishment, infliction of pain, humiliation, ridicule, coercion, threats, mental abuse, or other actions of a punitive nature.

Program site was clean, safe, sanitary, and in good repair at all times for the safety and well being of clients, employees and visitors.

Medication was reviewed and was given per physician's directions.

4 Client Files and 4 Staff Files were reviewed.

Interviews were conducted with 1 Client and 2 Staff. 2 Client's refused to be interviewed and 1 was out in the community.

4 Staff responsible for providing care and supervision had an expired First Aid certificate.

Exit interview conducted and copy provided.

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