Facility Evaluation Report

At approximately 8:15AM, Licensing Program Analyst (LPA) Chris Arnhold made an unannounced Post Licensing Visit of this licensed senior care facility. LPA met with Licensee Stanley Wong. At approximately 8:45AM, LPA toured the building and grounds which was found to be clean and in good repair. LPA observed interior walkways and exits to be unobstructed, however, the exit gate was broken and did not open to allow evacuation. Licensee corrected the gate during visit. All notices that are required to be posted have been posted and are in a highly visible area. The amount of fresh and nonperishable foods is within regulation. Facility kitchen, refrigerators and freezers were clean, and food was stored properly. Toxins are stored in a locked storage closet. Water temperature measured above regulation between 105 and 120 degrees F at faucets accessible to residents. Licensee adjusted hot water temperature during visit. Fire extinguishers inspected were charged. All smoke detectors were found to have their batteries disconnected. Staff reinstalled the batteries during visit. Carbon Monoxide detectors were present. Facility had the proper lighting in all common areas and resident rooms. There were no night lights in the hallway leading to the bathroom. Medication is centrally stored and secure.

At approximately 9:15AM, LPA reviewed 6 resident records. LPA found 5 of 6 residents did not have current physician's reports or care plans. 6 of 6 records contained current and signed admission agreements. Medication records were present. Two residents were receiving Hospice Services but there were no hospice care plans or documentation present.

Licensee did not have staff records present at the facility during this visit.