Facility Evaluation Report, 03/27/2023 — Le-na'residental Care, INC., Buena Park CA

Licensing Program Analysts (LPAs) Claudia Gutierrez and Dwayne Mason made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPAs were greeted and granted entry by Staff Gian Pucan. LPAs discussed the purpose of the inspection and Administrator (AD) Jamie Lee was contacted by phone and arrived at the facility at 1:03 p.m.

During the inspection LPAs conducted a tour of the inside and outside of the facility, common areas, client rooms, staff room, kitchen, garage and observed the following:

This is a one-story house with three client bedrooms, two bathrooms, and two staff bedrooms. All client bedrooms had the required furnishings. LPAs observed all client beds had linens and blankets. LPAs observed all windows were screened. The back yard has a shaded sitting area. LPAs observed two staff and five clients present. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested at 119.1 F degrees.

LPA Gutierrez observed emergency disaster plan and emergency phone numbers listed and posted. Food menu was also posted and visible. LPAs observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguisher was observed to be fully charged. Sharps were observed to be inaccessible. All and any toxic chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to clients. Medication was observed to be locked. The first aid kit has all the required elements. LPAs reviewed three client files and three staff files. LPAs interviewed two clients and one staff.

During the inspection, LPAs observed that an addition had been made onto the house, closing off an exit indicated on the facility sketch. AD stated the facility did not obtain a new fire clearance designating the addition as a staff bedroom, therefore the facility is operating outside of its fire clearance. (Cont. LIC809-C)