Facility Evaluation Report
Licensing Program Analyst (LPA) Janira Arreola and Jacqueline Shaw Ross conducted an unannounced visit to the facility in order to conduct an annual with a focus on infection control. LPA met with staff, Ahmed Qasin who was informed of the purpose of the visit. At the time of the visit there (3) staff and (5) residents present.
LPAs found that the facility has a central entry point in the facility entrance. The facility had hand sanitizer and face masks at the entry point. The staff took LPA's temperature upon entering. LPAs observed the facility's mitigation plan was not completed, and staff were not wearing their face mask at the time of the visit. Technical assistance notes were documented for COVID related guidance. LPA was also informed by staff that the facility does not have vaccine information for (1) staff member. This will be address along with items below.
LPAs conducted a tour of the interior and exterior of the facility. The following was found to be out of compliance with the California Code of Regulations Title 22 Division 6 Chapter 8:
LPAs observed the following concerns with staff. LPAs rang the door bell the the home and had staff answer the door who claimed not hearing the door bell ring, and a facility resident was the one who answered the door for the LPAs. When LPAs asked what population the facility served, the staff was unable to answer the question. A staff member reported sleeping on the floor of the staff room, and when LPA asked the staff manger they stated the master bedroom (bedroom #1) was for staff. Room #1 was observed to have mattresses with no bed linens.
LPA observed cleaners in the laundry room, in the facility garage, under sink in staff bathroom, and staff master bedroom that were being kept unlocked.
LPA observed unlocked injectable insulin syringes in the resident refrigerator.
LPAs observed the drawer where knifes and sharp objects are to be stored had a lock that was not functioning properly. Therefore, leaving the knifes accessible to residents.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction