Facility Evaluation Report
Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA Rodgers was welcomed by, identified herself to, and discussed the purpose of the visit with Caregiver Natalie Bond.
The facility is licensed to serve six (6) residents; of which all can be non-ambulatory, two (2) can be under Hospice Care, and one (1) resident may be bedridden. During today's visit all six (6) Residents were present.
LPA, accompanied by licensee’s staff, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows and screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility’s ambient internal temperature was compliant. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to clients. Medications were labeled, as required, and stored in locked areas.
No pools or bodies of water were observed on the premises. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were serviced within the last 12 months. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA reviewed multiple staff and client records/files and did not raise any significant licensing concerns.
No deficiencies were observed or cited during today's annual inspection.
An exit interview was conducted with Caregiver Natalie Bond to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction