Facility Evaluation Report
At approximately 11:50AM, Licensing Program Analyst (LPA) Felias arrived unannounced to conduct a Post-Licensing visit and met with Administrator/Clinical Director, Melissa Guyot and Program Director, Jordyn Bonanni. Facility has an approved fire clearance for 6 Ambulatory Clients. Upon arrival, LPA was informed that the Facility currently has four Clients in care and 9 staff on site.
LPA conducted a walk through of the facility and observed the following: Facility was clean and at a comfortable temperature with all exits free from obstruction. Bathrooms were equipped with necessary grab bars, and non-slip mats were present. Bathrooms were supplied with paper towels, liquid hand soap, and hand-washing signs. Toxins were secure and inaccessible to clients. There was a sufficient supply of hygiene products, paper products, and linens available for client use. Mattress pads were in place or available for client use.
LPA reviewed a sample size of 5 staff files and 4 Client Files. Staff files were all found to be well organized, thorough and contained the required documentation. LPA observed that 3 of 4 Client Files did not have Medical Assessments or TB test results on file ( See Technical Advisories 81069(a) and 81069(f)(1) ). Per conversation with Administrator, Facility has been documenting all communication attempts to get signed and dated Physician Reports for their Clients as well as obtaining Client Tuberculosis (TB) Test Results.
LPA discussed the importance of having current medical assessments and TB results on file.
LPA reviewed 4 Client Medications. Medication was observed to be centrally stored and secure.
Facility's hot water temperatures were observed to be over 120 degrees Fahrenheit during visit. Facility showed documentation of water temperature logs for the past 3 months which indicated that hot water temperature for all facility sinks were within Title 22 Regulations of 105 to 120 degrees Fahrenheit, ranging between 116-119 degrees ( See Technical Advisory 81088(e)(1)).
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction