Facility Evaluation Report

Licensing Program Analyst (LPA) Albert Johnson arrived unannounced to conduct an annual inspection. LPA met with Staff and explained the purpose of the visit.

LPA inspected the physical plant with including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, activity room, and outside courtyards. LPA observed sufficient furniture and lighting throughout the facility. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Hot water temperature was measured at 117 degrees Fahrenheit in resident bathroom sink, which is within the required range of 105 to 120 degrees. During the tour of the kitchen LPA observed sink with cracks in the seams, water pooling on the floor by the sink, expired food and holes in the floor tiles by the ovens. Fire extinguishers and smoke detectors/carbon monoxide detectors are operational.

LPA observed centrally stored medications are kept locked and inaccessible to residents. LPA reviewed and compared resident medication vs. resident medication logs. During the medication review LPA observed medications counts off for two controlled medications for R1. The medication is not listed on the centrally stored log and the other medication is listed on the log but there are two different quantities for these medication, which throws the controlled medication count off (There are approximately 10 pills missing from R1 medication ) LPA reviewed 10 resident and 5 staff files, including criminal record clearances. All staff are fingerprinted and cleared. First aid kit was checked and is complete. Deficiencies were cited pursuant to Title 22 rules and regulations, Health and Safety Codes. Exit interview conducted