Facility Evaluation Report
On 08/08/24 at 11:02am Licensing Program Analyst (LPA) Javina George made an unannounced visit for the purpose of conducting a 1 year required visit/annual inspection. LPA George met with Administrator William Lee and informed of the purpose of today's visit. The facility is licensed to serve residents age range 60 and over, of which 1 may be non ambulatory and 5 ambulatory residents. The facility has an approved hospice waiver for (1). There are currently (2) residents receiving hospice services. The Administrator will submit a hospice waiver increase. Below is a summary of what was observed during today’s inspection:
Infection Control: LPA George observed that the facility has an updated Infection Control Plan on file and is demonstrating best practices in the facility to maintain a healthy environment for staff, residents and visitors.
Physical Plant: LPA toured the interior and exterior of the facility and observed that there a sufficient bedrooms (6) and bathrooms (2.5) for resident use. The facility was observed to have the required furniture and linen to be present and in good condition in resident bedrooms. The exits are free from obstruction and that there is plenty of space for activities. In the backyard there is a covered patio, and a gazebo. There are no pools or bodies of water on the premises. LPA observed for the facility sketch to not match the physical lay out of the facility as the licensee added staff break rooms, that have beds inside. LPA observed for one room to have a green suitcase, however all staff and the Administrator William denied that there are live in caregivers.
Staff Records: LPA observed that there are sufficient staff present to meet the needs of residents. LPA George confirmed that there is an Administrator present. LPA observed for the additional Administrator William Lee to not be associated to the facility, but has proper fingerprint clearance. Guardian information will be provided. However per the records review and confirmation from the Administrator William all staff present at the time of LPAs visit are volunteers. All volunteers are paid were observed to have criminal record clearance and were associated
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction