Facility Evaluation Report

Licensing Program Analyst (LPA) Talwinder Bains arrived on 03/12/24 to conduct the annual inspection. LPA met with Regional Director (RD) , Rachel Breedlove and explained the purpose of today's visit.

During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA reviewed residents (2) and staff files (2). Facility was clean and well organized. All required postings were observed. Residents files found to be complete. Medications are centrally stored, locked, and appear to be given per doctor order. LPA compared medications to those being given for two (2) residents and found no discrepancies. Facility is correctly using the Medication Administration Records (MAR).

LPA and RD toured the facility together to ensure the health and safety of residents in care. The areas toured included residents rooms, bathrooms, kitchen ,office area common areas and outside area. The food supply is within compliance, 2 days of perishable and 7 days worth of non-perishable food items. Grab bars were present at the toilet and in the shower. All exits were unobstructed. There is a side gate for emergency access. LPA checked the kitchen area for the ability to prepare and store food. Knives and Sharp objects found to be locked. LPA observed cleaning products and other toxins to be locked away. LPA observed the area used for medication to be locked and inaccessible to residents. LPA observed smoke detectors and carbon monoxide detector at the care home are operational. Fire extinguisher was last serviced on 01/08/24 and was ready for emergency use. Hot water temperature was observed to be 110 degrees F, which is within the regulation range of 105-120 degree. Inside temperature was observed at 70 degree F.

No deficiencies were observed or cited per Title 22, CCR Regulations from this visit.

Exit interview conducted. Copy of this report was provided to RD.