Facility Evaluation Report
On 06/14/2023, Licensing Program Analyst (LPA), Venus Mixson arrived unannounced to conduct a case management health and safety visit. LPA Mixson met with the Facility Nurse and explained the purpose of the visit.
LPA Mixson toured the facility and observed three residents currently in the facility, and one resident was in the hospital. Additionally, there were two nurses, two caregivers, and a Respiratory Therapist. There are no imminent health and/or safety concerns observed at the time of visit. LPA Mixson observed no health and/or safety hazards inside the facility. LPA observed facility utilities to be on and operating without issue. There was a sufficient amount of staff present at the facility to provide care. LPA Mixson assessed the available food supply and observed that the supply exceeds the requirement of a two days supply of perishable foods and a seven days supply of non-perishable foods. Medications were found to be in sufficient supply as well. LPA Mixson interviewed the Facility Nurse, requested and received pertinent documentation. The Facility Nurse stated that the Resident passed away while on Palliative Care and in the hospital. The Resident left the facility on 04/20/20223 by 911. Based on the information obtained during today's visit, there are no immediate threats to the health, safety, and welfare of the residents in care. No deficiencies were observed during today's visit.
An exit interview was conducted and a copy of this report, along with the LIC 811, was provided to the Facility Nurse.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction