Facility Evaluation Report
On 11/15/2023 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 Administrator Richie Garcia, and was granted entry to the facility. At the time of the visit there were three (3) staff present, and three (3) residents present.
The facility is a eleven (11) bedroom, eight (8) bathroom home with a kitchen/dining area, living room. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of fourteen (14) non-ambulatory residents and the current census is twelve (12) residents. LPA Brown was accompanied by Administrator Garcia 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 (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA 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. Resident #1 (R1) did not have lamp in their bedroom. The shower in Room #2, Room #3 and Room #8 did not have a non-slip mat on the shower floor. During the tour of the facility, LPA Brown observed that Resident #12 has a half bedrail and no written order from R12's physician indicating the need for the postural support maintained in R12's facility record . Also, LPA Brown observed the side gate secured and locked with padlock. This poses an immediate and potential health, safety risk to residents in care. Deficiencies will be issued for the lamp and the non-slip mat and for locking/securing the side gate with padlock. LPA observed sufficient furniture and lighting throughout the facility. LPA measured and observed the water temperatures in the bathroom to be at 110 degrees F. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint 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