Facility Evaluation Report
On 11/15/2024 at 08:45 AM, Licensing Program Analyst (LPA) Melody Brown made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA Brown met with a staff and was granted entry to the facility. At the time of the visit there were two (2) staff present, and five (5) residents present. Licensee/Administrator Thomas Uata was contacted and informed of the visit. Staff #3 (S3) informed Facility Manager Brandee Geurkink of the visit. LPA Brown explained the purpose of the visit to Facility Manager Brandee Geurkink.
The facility is a Residential Care Facility for the Elderly (RCFE). The facility is a four (4) bedroom, three (3) bathroom home with a kitchen/dining area, two (2) living room areas, laundry room and an attached two-car garage. The facility is licensed for a capacity of six (6) non-ambulatory residents. The current census is five (5) residents. LPA Brown was accompanied by Facility Manager Geurkink to conduct a general overall inspection, which included, but was not limited to, the following:
Physical Plant : The facility is operating in the capacity approved by Community Care Licensing Division (CCLD). There are no obstructions to interior and exterior passageways. The facility is maintained at a comfortable temperature of 75 degrees Fahrenheit. LPA Brown inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, and storage space. However, LPA Brown observed insufficient lighting on resident bedrooms to ensure the comfort and safety of residents at the facility. Deficiency will be issued. Also, LPA Brown observed no chairs provided on resident bedrooms. Technical Violation will be issued. Moreover, LPA Brown observed that bathrooms were clean, and appliances were operating appropriately. LPA Brown observed sufficient furniture throughout the facility. LPA Brown measured and observed the water temperature in the residents shared bathroom to be at 106.8 degrees Fahrenheit. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Postings such as the facility license, personal rights, the CCLD complaint poster, ombudsman poster, labor laws, and the disaster plan were posted in a common area. ***Continuation in LIC809C***
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction