Facility Evaluation Report
On today's date 01/25/14, Licensing Program Analyst (LPA) Javina George conducted an unannounced Health and Safety check at the facility. LPA was greeted and granted entry by Licensee Janette Racelis, and explained the purpose of the visit. At the time of LPAs visit there were two (2) staff and five (5) resident's present. Both staff were observed to have obtained criminal record clearance and were associated to the facility. There were (2) resident's sleeping, (1) resident eating and (2) resident's watching a television program. The resident's observed in the common area and at the dining room table were were observed to be dressed and well groomed.
The facility has an approved hospice waiver for four (4) residents. The facility currently has three (3) residents that are under hospice care. All resident's on hospice have a DNR as indicated on their Physician's Orders for Life Sustaining Treatment (POLST). LPA did not observe any additional advanced health care directives for the residents under hospice care.
LPA conducted a tour of the interior and exterior of the facility. The facility has five (5) residents bedrooms and (2) staff bedrooms and 4 bathrooms. There is currently one vacant resident bedroom. Upon arrival to the facility LPA observed for the driveway where it meets at the sidewalk to be uneven. LPA estimates the gap to be about a 4-5" gap between the sidewalk and end of the drivewa y. The pavement is uneven on the right side of the facility if you are standing across the street, looking at the facility. LPA observed for there to be an orange cone present, highlighting the uneven pavement. LPA inquired with the Licensee Mrs. Racelis if the shift in foundation is something that has happened over time.
Mrs. Racelis stated that the shift/uneven pavement have been a result of the recent earthquake that occurred a couple of weeks ago. Mrs. Racelis stated that she has been in communication with the property owner, who stated the pavement will be repaired. The is a current appointment with a foundation company is scheduled for 1/30/24 at 9am to estimate the cost of repair. The Licensee will send proof of estimate,
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction