Facility Evaluation Report
On 10/17/2024 at 08:35 AM, Licensing Program Analyst (LPA) Melody Brown made an unannounced visit to the facility. The purpose of the visit was to conduct the required comprehensive annual inspection. LPA Brown met with a staff and was granted entry to the facility. Licensee/Administrator Latonia Wilson arrived at the facility during the visit. At the time of the visit there were two (2) staff present, and four (4) residents present.
The facility is a five (5) bedroom, three (3) bathroom home with a kitchen/dining area, living room/activity room, laundry room, garage and a backyard. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of six (6) of which three (3) can be non-ambulatory residents, two (2) can be bedridden and one (1) ambulatory resident. The facility’s approved for six (6) hospice waiver. The current census is four (4) residents. LPA Brown was accompanied by Licensee/Administrator Wilson 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 indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 73 degrees Fahrenheit. LPA Brown inspected resident bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA Brown observed sufficient furniture and lighting throughout the facility. LPA Brown measured and observed the water temperature in the residents shared bathroom to be at 111 degrees Fahrenheit. The facility is equipped with operating combined smoke detectors and carbon monoxide alarms. Fire extinguisher was also observed at the facility. Posters such as personal rights, the CCLD complaint poster, labor laws,ombudsman poster 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