Facility Evaluation Report
On 01/24/24 at 10:00 am Licensing Program Analyst (LPA) Christopher Alemoh conducted an Annual required visit and inspection of the facility. LPA met with Administrator, Elaine Bote, and explained the reason for the visit. Five (5) residents and two (2) staff were present during this inspection. Facility is following COVID protocols, LPA was screened upon entry and asked to sign in.
The facility has four (4) bedrooms and three (3) bathrooms designated for residents. Hospice waiver approved for 1 (1) resident. The facility serves residents with dementia. One resident uses an oxygen tank. Signage posted on the front door and throughout the facility.
At 10:15am, with the assistance of (S1) Administrator Elaine Bote, LPA conducted a physical plant to ensure facility is in compliance with Title 22 Regulations. Facility Temp measured at 76 degrees.
Required postings were observed in the entry area. The smoke alarms are hardwired and interconnected. 3 out of 3 auditory alarms were on and functioning during today’s visit. The carbon monoxide and smoke detectors were tested and function properly. One (1) fire extinguisher was observed in the kitchen. The charge date is 12/27/23.
Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food at the facility located in a brown industrial sized cabinet.; properly stored. Knives were stored and locked under the sink the kitchen. Properly labeled medications were locked and secured in a grey industrial cabinet near the kitchen the Administrator office along with resident files. All household cleaning products were locked in the laundry area.
Bedrooms: There were five (4) bedrooms designated for residents' use. Two (2) rooms will be shared, and one (1) room were private at the time of the visit. LPA observed rooms to have bedding sheets, pillowcase, blankets, mattress pads, which are in good condition. There is at least one chair, a night stand, and sufficient lighting for each client.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction