Facility Evaluation Report
At approximately 9:00AM, Licensing Program Analyst (LPA) Felias arrived unannounced to conduct a 1 Year Required visit and met with Staff Member, Nancy McKee. Licensee, Tina Camaclang, arrived during visit at approximately 10:40AM. Facility provides care and assistance to older adults and has a dementia care program on file. Facility has an approved fire clearance for a total capacity of 12 non-ambulatory residents. Upon arrival, LPA was informed that there were currently 8 residents in care and 3 staff members on-site.
At approximately 9:10AM, LPA reviewed the Facility's Staff Roster and found that all staff members on site were background cleared and associated to the facility per regulation. LPA conducted a walk-through of the facility and made the following observations: Per facility sketch, facility consists of 8 resident rooms, a staff break room, and common areas. Facility has a separate building for laundry and extra storage. Facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Facility has an Infection Control Plan on file. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Toxins and other hazards were observed to be stored inaccessible to residents. There was an appropriate supply of cleaning products, linens, hygiene products and paper products available for residents. Bathrooms were equipped with necessary grab bars, and non-slip floors/mats were present. Mattress pads were in place or available for Resident use. Hot water temperatures for all facility sinks were found to be within Title 22 regulations of 105 to 120 degrees Fahrenheit.
During walkthrough, LPA observed the following:
Multiple instances of food being unlabelled in facility fridge
Facility freezer in need of cleaning - observed frozen liquid and food particles at the bottom of freezer drawer.
During visit, LPA observed facility staff put dates on unlabelled foods and clean the freezer drawer of liquid and food particles.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction