Facility Evaluation Report

Licensing Program Analysts (LPAs) Kimberly Lyman and Jerome Haley conducted an unannounced visit for the purpose of conducting a required/ annual visit. LPAs were greeted and granted entry into the facility by Administrator Gwendolyn Oneal and explained the reason for the visit. Gwendolyn Oneal has an administrator certificate and just submitted all the requirements for renewal.

Upon entry, LPAs toured the facility with Administrator Gwendolyn. Facility has two clients present during today's visit, with one clients in the hospital. LPAs observed clients relaxing in the facility. Both clients appeared happy and well taken care of. All client rooms had the required elements and appeared to be well equipped for clients enjoyment. The restroom was clean and stocked with soap. LPAs observed hand sanitizer in the entrance of the facility. The facility mitigation plan has been completed and approved. LPAs observed adequate emergency food as well as the first aid kit with all required items. LPAs observed a medication cabinet with a lock on it. While touring the garage at approx.10:00am, LPAs noticed there were unsecured laundry detergents sitting on top the washing machine. Fire extinguishers are mounted and charged. While touring the kitchen area at approx. 10:05am LPAs observed an unlocked cabinet with unsafe items such as: bleach, raid, and cascade pods. LPAs also observed an unlocked cabinet above the stove with a knife and scissors. LPAs toured the outside grounds and observed a shaded visitation area with a table and chairs. Exit gates are unlocked and self latching.

LPAs consulted with Administrator on the importance of having a screening station set up at the entrance of the facility, and screening all visitors, residents, and staff daily and keeping documentation of the screening process. Further, LPAs consulted Administrator on the importance of keeping unsafe products locked and secured at all time.

Based on the observations made during today's visit, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. This report was discussed with the facility Administrator and a copy was provided as well as appeal rights.